| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,969 |
1,738 |
$90K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,509 |
1,304 |
$53K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
121 |
115 |
$8K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
157 |
157 |
$4K |
| 59025 |
Fetal non-stress test |
245 |
209 |
$4K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
245 |
245 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
33 |
33 |
$924.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
51 |
50 |
$875.43 |
| 81025 |
|
29 |
29 |
$162.40 |
| 3078F |
|
174 |
144 |
$0.00 |
| 3074F |
|
174 |
145 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
375 |
373 |
$0.00 |