| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,384 |
6,573 |
$532K |
| T1015 |
Clinic visit/encounter, all-inclusive |
3,795 |
2,834 |
$291K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
46 |
44 |
$51K |
| 81002 |
|
11,692 |
7,888 |
$35K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
339 |
288 |
$31K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
624 |
527 |
$22K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
486 |
461 |
$13K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
104 |
101 |
$11K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
175 |
162 |
$11K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
448 |
426 |
$9K |
| 59430 |
|
43 |
40 |
$5K |
| 99215 |
Prolong outpt/office vis |
19 |
14 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
442 |
393 |
$2K |
| 90715 |
|
47 |
45 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
15 |
15 |
$2K |
| 81003 |
|
668 |
650 |
$1K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
32 |
28 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
114 |
107 |
$593.67 |
| 90756 |
|
13 |
13 |
$194.53 |
| 90686 |
|
12 |
12 |
$136.77 |
| 81025 |
|
14 |
12 |
$80.91 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
18 |
18 |
$64.13 |