| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,559 |
1,388 |
$55K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
368 |
310 |
$21K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
459 |
451 |
$6K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
145 |
145 |
$3K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
386 |
379 |
$2K |
| 81025 |
|
189 |
184 |
$815.48 |
| 59025 |
Fetal non-stress test |
37 |
24 |
$606.28 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$264.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
570 |
546 |
$0.00 |
| 1036F |
|
44 |
42 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
44 |
42 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
66 |
64 |
$0.00 |
| 4004F |
|
12 |
12 |
$0.00 |