| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,588 |
2,344 |
$85K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
136 |
131 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
395 |
336 |
$14K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
12 |
12 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
12 |
$491.45 |
| 81002 |
|
2,245 |
1,028 |
$227.09 |
| 81025 |
|
28 |
26 |
$73.92 |
| 59025 |
Fetal non-stress test |
14 |
13 |
$0.00 |
| 99235 |
|
15 |
14 |
$0.00 |