| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,530 |
6,334 |
$379K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
812 |
812 |
$100K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
834 |
834 |
$65K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
380 |
373 |
$32K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
557 |
529 |
$19K |
| 59025 |
Fetal non-stress test |
470 |
264 |
$13K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
109 |
109 |
$9K |
| 99385 |
|
29 |
29 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
35 |
35 |
$2K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
49 |
49 |
$1K |
| 81003 |
|
475 |
408 |
$805.25 |
| 81025 |
|
207 |
205 |
$607.29 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
40 |
40 |
$461.28 |
| 94060 |
|
50 |
50 |
$439.92 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
21 |
21 |
$110.28 |
| 94729 |
|
26 |
26 |
$91.82 |
| 36415 |
Collection of venous blood by venipuncture |
18 |
16 |
$0.00 |