| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
218 |
209 |
$119K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
772 |
722 |
$73K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,789 |
2,109 |
$56K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,581 |
1,178 |
$50K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
693 |
643 |
$30K |
| 76801 |
|
113 |
108 |
$10K |
| 81002 |
|
3,694 |
2,320 |
$10K |
| 59514 |
|
12 |
12 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
525 |
475 |
$5K |
| 90674 |
|
76 |
75 |
$2K |
| 87210 |
|
283 |
264 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
73 |
72 |
$564.48 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
26 |
25 |
$0.00 |