| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,040 |
2,091 |
$313K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,751 |
1,681 |
$101K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
482 |
481 |
$51K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
88 |
87 |
$9K |
| 81002 |
|
4,603 |
4,145 |
$5K |
| 59025 |
Fetal non-stress test |
107 |
88 |
$3K |
| 99459 |
|
106 |
106 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
14 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
26 |
25 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$327.74 |
| 81025 |
|
37 |
37 |
$230.20 |
| 36415 |
Collection of venous blood by venipuncture |
13 |
12 |
$34.20 |
| 99000 |
|
19 |
18 |
$20.00 |