| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0502F |
|
7,839 |
4,755 |
$402K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,403 |
1,127 |
$242K |
| 0500F |
|
1,137 |
904 |
$66K |
| 59025 |
Fetal non-stress test |
1,272 |
738 |
$48K |
| 0503F |
|
418 |
322 |
$26K |
| 90715 |
|
685 |
460 |
$23K |
| 59430 |
|
152 |
127 |
$19K |
| H1000 |
Prenatal care, at-risk assessment |
1,132 |
918 |
$17K |
| 82951 |
|
663 |
488 |
$9K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
168 |
126 |
$9K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
340 |
274 |
$7K |
| 90686 |
|
315 |
197 |
$6K |
| 96127 |
|
306 |
222 |
$4K |
| 99459 |
|
231 |
157 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
13 |
$1K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
19 |
17 |
$866.28 |
| 90756 |
|
36 |
25 |
$608.15 |