| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,368 |
1,292 |
$58K |
| 99215 |
Prolong outpt/office vis |
316 |
257 |
$27K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
712 |
628 |
$25K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
142 |
130 |
$10K |
| 59025 |
Fetal non-stress test |
154 |
125 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
51 |
51 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
61 |
54 |
$995.88 |
| 81025 |
|
85 |
85 |
$450.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
45 |
45 |
$0.00 |