| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
355 |
266 |
$41K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
212 |
182 |
$22K |
| 81003 |
|
334 |
220 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15 |
13 |
$3K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
37 |
19 |
$3K |
| 59025 |
Fetal non-stress test |
23 |
13 |
$3K |
| 81025 |
|
89 |
80 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
20 |
13 |
$2K |