| Code | Description | Claims | Beneficiaries | Total Paid |
| 59426 |
|
9,197 |
3,528 |
$977K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,935 |
6,122 |
$700K |
| 59425 |
|
6,489 |
4,492 |
$680K |
| 59025 |
Fetal non-stress test |
7,068 |
2,357 |
$143K |
| 59410 |
|
65 |
65 |
$54K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
566 |
506 |
$54K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
398 |
379 |
$42K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
473 |
391 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
12 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
811 |
666 |
$993.63 |
| 99024 |
|
1,450 |
1,316 |
$598.36 |
| 99051 |
|
36 |
35 |
$315.90 |
| 81025 |
|
6,805 |
5,425 |
$140.39 |
| 81002 |
|
40 |
29 |
$0.00 |
| 87210 |
|
21 |
13 |
$0.00 |