| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
33,828 |
17,792 |
$6.28M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17,850 |
10,168 |
$554K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,936 |
6,215 |
$296K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
479 |
474 |
$267K |
| 59514 |
|
276 |
273 |
$104K |
| 59430 |
|
1,952 |
1,761 |
$73K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,921 |
1,268 |
$65K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
757 |
705 |
$20K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
570 |
558 |
$17K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
300 |
282 |
$8K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
2,427 |
2,292 |
$7K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
224 |
195 |
$6K |
| 81003 |
|
3,479 |
2,667 |
$5K |
| 82951 |
|
2,031 |
1,652 |
$4K |
| 59025 |
Fetal non-stress test |
171 |
115 |
$4K |
| 59020 |
|
54 |
46 |
$1K |
| 81025 |
|
381 |
357 |
$1K |
| 82947 |
|
1,084 |
991 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
184 |
178 |
$731.25 |
| 36410 |
|
233 |
219 |
$686.50 |
| 99221 |
|
12 |
12 |
$602.71 |
| 90715 |
|
116 |
115 |
$165.82 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
52 |
51 |
$43.84 |
| 82952 |
|
412 |
237 |
$39.48 |
| 82948 |
|
94 |
89 |
$24.69 |
| 85018 |
|
175 |
171 |
$23.88 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
130 |
129 |
$0.06 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
13 |
13 |
$0.00 |
| 36416 |
|
2,209 |
1,903 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
3,403 |
3,111 |
$0.00 |
| 83051 |
|
142 |
138 |
$0.00 |