| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
2,802 |
1,644 |
$238K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,143 |
3,864 |
$159K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
911 |
861 |
$54K |
| 99429 |
|
146 |
146 |
$32K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,140 |
1,137 |
$25K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,215 |
1,201 |
$17K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
534 |
533 |
$12K |
| 59025 |
Fetal non-stress test |
425 |
193 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
100 |
100 |
$6K |
| 81025 |
|
947 |
933 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
61 |
60 |
$2K |
| 99385 |
|
12 |
12 |
$264.00 |
| 3079F |
|
29 |
28 |
$0.00 |
| 3061F |
|
31 |
26 |
$0.00 |
| 90715 |
|
105 |
101 |
$0.00 |
| 3078F |
|
16 |
12 |
$0.00 |