| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
959 |
549 |
$87K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
740 |
601 |
$64K |
| 0502F |
|
408 |
218 |
$26K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
15 |
15 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
83 |
38 |
$6K |
| 59025 |
Fetal non-stress test |
377 |
303 |
$3K |
| 0500F |
|
25 |
25 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
30 |
29 |
$2K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
74 |
72 |
$2K |
| 81025 |
|
288 |
234 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
14 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
84 |
72 |
$781.22 |