| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,337 |
1,809 |
$132K |
| 99205 |
Prolong outpt/office vis |
273 |
240 |
$30K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
41 |
40 |
$23K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
279 |
251 |
$22K |
| 76801 |
|
198 |
174 |
$14K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
132 |
113 |
$5K |
| 80305 |
|
318 |
256 |
$3K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
84 |
61 |
$2K |
| 81025 |
|
290 |
243 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
18 |
12 |
$644.82 |
| 90756 |
|
31 |
28 |
$569.75 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
36 |
28 |
$396.90 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
29 |
28 |
$385.50 |
| 81003 |
|
88 |
66 |
$15.68 |