| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0502F |
|
1,969 |
1,031 |
$95K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
325 |
164 |
$28K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
55 |
54 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
52 |
52 |
$2K |
| 59025 |
Fetal non-stress test |
26 |
14 |
$871.25 |
| 90686 |
|
29 |
16 |
$528.55 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
16 |
12 |
$158.08 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
29 |
13 |
$10.00 |