| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,724 |
1,500 |
$64K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
61 |
61 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
66 |
65 |
$899.36 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
36 |
36 |
$770.00 |
| 59025 |
Fetal non-stress test |
45 |
26 |
$739.52 |
| 99072 |
|
123 |
118 |
$427.00 |
| 96127 |
|
25 |
25 |
$110.00 |