| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,506 |
4,269 |
$75K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
130 |
124 |
$9K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
62 |
38 |
$4K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
28 |
27 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
68 |
64 |
$1K |
| 59025 |
Fetal non-stress test |
62 |
29 |
$1K |
| 90686 |
|
42 |
41 |
$699.09 |
| 81025 |
|
28 |
26 |
$183.36 |
| 81002 |
|
48 |
45 |
$137.90 |
| 99000 |
|
166 |
159 |
$20.52 |