| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59425 |
|
2,930 |
1,944 |
$279K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
732 |
693 |
$36K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
151 |
151 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
51 |
50 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
57 |
55 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
25 |
25 |
$2K |
| 59025 |
Fetal non-stress test |
56 |
39 |
$2K |
| 99459 |
|
69 |
69 |
$637.28 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$262.92 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
17 |
17 |
$137.44 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$23.76 |
| 0502F |
|
63 |
48 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
16 |
16 |
$0.00 |