| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,203 |
1,011 |
$55K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
103 |
84 |
$6K |
| 59025 |
Fetal non-stress test |
154 |
121 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
38 |
36 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
38 |
29 |
$3K |
| 54150 |
|
15 |
14 |
$2K |
| 76830 |
Ultrasound, transvaginal |
13 |
12 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
324 |
255 |
$697.96 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
27 |
25 |
$664.65 |
| 81025 |
|
82 |
75 |
$471.74 |
| 87210 |
|
12 |
12 |
$30.28 |
| 0502F |
|
1,643 |
1,244 |
$0.00 |