| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
561 |
454 |
$34K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
321 |
315 |
$24K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
594 |
543 |
$23K |
| 59025 |
Fetal non-stress test |
295 |
111 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
191 |
163 |
$6K |
| 76801 |
|
25 |
25 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
71 |
57 |
$915.27 |
| 80305 |
|
40 |
40 |
$533.76 |
| S9999 |
Sales tax |
428 |
269 |
$0.06 |