| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,882 |
1,739 |
$71K |
| 99221 |
|
723 |
722 |
$35K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
208 |
198 |
$13K |
| 59025 |
Fetal non-stress test |
512 |
419 |
$8K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
300 |
243 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
29 |
29 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
15 |
15 |
$1K |
| 99219 |
|
12 |
12 |
$910.44 |
| 99218 |
|
17 |
17 |
$835.05 |
| 81025 |
|
83 |
83 |
$556.86 |
| 36415 |
Collection of venous blood by venipuncture |
86 |
81 |
$380.53 |
| 90686 |
|
13 |
13 |
$228.36 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
18 |
18 |
$119.00 |
| 0502F |
|
103 |
54 |
$0.00 |