| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59025 |
Fetal non-stress test |
5,644 |
3,434 |
$162K |
| 36415 |
Collection of venous blood by venipuncture |
7,954 |
7,037 |
$20K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
290 |
254 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
76 |
73 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
53 |
51 |
$3K |
| 85018 |
|
1,374 |
1,290 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
323 |
220 |
$2K |
| 90686 |
|
70 |
66 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
230 |
216 |
$850.67 |
| 82950 |
|
125 |
120 |
$541.33 |
| 0502F |
|
54 |
50 |
$0.00 |