| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59425 |
|
8,303 |
5,736 |
$798K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,903 |
1,901 |
$235K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,610 |
2,453 |
$223K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,317 |
1,314 |
$158K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,027 |
1,006 |
$153K |
| 99215 |
Prolong outpt/office vis |
650 |
647 |
$129K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
171 |
170 |
$127K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,179 |
2,067 |
$122K |
| 76830 |
Ultrasound, transvaginal |
1,061 |
1,044 |
$95K |
| Z1034 |
|
1,060 |
755 |
$58K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
693 |
671 |
$21K |
| 59430 |
|
213 |
212 |
$20K |
| J3490 |
Unclassified drugs |
137 |
131 |
$15K |
| J7298 |
Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg |
14 |
14 |
$13K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
114 |
114 |
$10K |
| Z1032 |
|
27 |
27 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
30 |
30 |
$3K |
| 81025 |
|
740 |
732 |
$2K |
| 87802 |
|
239 |
233 |
$2K |
| 58300 |
|
24 |
13 |
$2K |
| 81000 |
|
14 |
14 |
$29.80 |