| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,425 |
2,557 |
$279K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
849 |
686 |
$70K |
| 0502F |
|
350 |
274 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
137 |
136 |
$12K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
12 |
12 |
$10K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
99 |
64 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
143 |
123 |
$7K |
| 81025 |
|
636 |
458 |
$5K |
| 59025 |
Fetal non-stress test |
53 |
40 |
$2K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
16 |
16 |
$597.90 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$573.24 |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
16 |
13 |
$426.08 |