| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,187 |
2,271 |
$183K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,179 |
939 |
$98K |
| 59025 |
Fetal non-stress test |
799 |
341 |
$46K |
| 59430 |
|
134 |
123 |
$26K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
146 |
122 |
$17K |
| 59426 |
|
13 |
13 |
$14K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
160 |
123 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
68 |
65 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
171 |
131 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
1,766 |
1,430 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
74 |
52 |
$3K |
| 59051 |
|
58 |
28 |
$2K |
| 81025 |
|
263 |
229 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
70 |
53 |
$766.64 |
| 81002 |
|
890 |
702 |
$53.68 |
| 99072 |
|
905 |
586 |
$0.00 |
| 99000 |
|
3,455 |
2,874 |
$0.00 |
| 84703 |
|
15 |
14 |
$0.00 |
| 83986 |
|
524 |
423 |
$0.00 |