| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59425 |
|
3,996 |
2,844 |
$239K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,684 |
3,484 |
$108K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,093 |
1,084 |
$74K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
42 |
42 |
$58K |
| 88141 |
|
1,899 |
1,328 |
$50K |
| 76830 |
Ultrasound, transvaginal |
675 |
670 |
$45K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
81 |
80 |
$44K |
| 99215 |
Prolong outpt/office vis |
256 |
252 |
$32K |
| 59430 |
|
364 |
340 |
$24K |
| 76801 |
|
299 |
289 |
$23K |
| 59025 |
Fetal non-stress test |
789 |
238 |
$18K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
161 |
151 |
$15K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
205 |
200 |
$14K |
| 90651 |
|
46 |
46 |
$11K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
514 |
498 |
$8K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
80 |
80 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
321 |
295 |
$6K |
| 90715 |
|
100 |
95 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
52 |
52 |
$2K |
| 90756 |
|
86 |
86 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
38 |
24 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
27 |
27 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
381 |
370 |
$2K |
| 99385 |
|
14 |
14 |
$2K |
| 81025 |
|
496 |
484 |
$1K |
| 86328 |
|
15 |
15 |
$678.45 |
| 81002 |
|
88 |
84 |
$187.44 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
80 |
80 |
$0.00 |