| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,944 |
4,292 |
$191K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
802 |
677 |
$28K |
| T1001 |
Nursing assessment / evaluation |
73 |
68 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
140 |
139 |
$8K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
136 |
136 |
$5K |
| 59025 |
Fetal non-stress test |
124 |
91 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
28 |
28 |
$1K |
| 90715 |
|
75 |
75 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
24 |
24 |
$900.48 |
| S0612 |
Annual gynecological examination, established patient |
17 |
17 |
$574.60 |
| 90686 |
|
18 |
18 |
$323.08 |
| G0008 |
Administration of influenza virus vaccine |
16 |
16 |
$187.60 |
| 36415 |
Collection of venous blood by venipuncture |
87 |
80 |
$163.65 |