| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0502F |
|
2,119 |
1,417 |
$115K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
881 |
371 |
$75K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
826 |
703 |
$69K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
913 |
588 |
$55K |
| 59025 |
Fetal non-stress test |
968 |
476 |
$33K |
| 59430 |
|
168 |
96 |
$24K |
| H1000 |
Prenatal care, at-risk assessment |
787 |
557 |
$12K |
| 0503F |
|
140 |
117 |
$8K |
| 96127 |
|
476 |
387 |
$7K |
| 81002 |
|
2,433 |
1,353 |
$6K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
252 |
124 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
15 |
15 |
$1K |
| 81025 |
|
142 |
118 |
$705.76 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
13 |
$127.53 |