| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,966 |
1,403 |
$90K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,276 |
927 |
$86K |
| 81003 |
|
1,994 |
1,293 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
200 |
184 |
$3K |
| 59025 |
Fetal non-stress test |
202 |
93 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
26 |
26 |
$2K |
| 81025 |
|
38 |
38 |
$239.79 |
| H1000 |
Prenatal care, at-risk assessment |
17 |
12 |
$136.76 |