| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,798 |
3,306 |
$188K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,041 |
966 |
$75K |
| 81025 |
|
1,369 |
1,294 |
$9K |
| 59425 |
|
15 |
15 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
27 |
26 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
33 |
27 |
$1K |
| 59025 |
Fetal non-stress test |
61 |
52 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
12 |
$1K |
| 81002 |
|
387 |
335 |
$922.99 |