| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,179 |
3,150 |
$149K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,060 |
1,085 |
$50K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
800 |
434 |
$45K |
| 81025 |
|
2,416 |
2,017 |
$13K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
97 |
92 |
$6K |
| 99215 |
Prolong outpt/office vis |
75 |
60 |
$5K |
| 59025 |
Fetal non-stress test |
33 |
12 |
$291.36 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
13 |
$75.00 |