| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
514 |
468 |
$31K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
12 |
12 |
$25K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
104 |
102 |
$8K |
| 81025 |
|
326 |
307 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
31 |
30 |
$567.16 |
| 0500F |
|
69 |
66 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
13 |
13 |
$0.00 |
| 81003 |
|
62 |
51 |
$0.00 |