| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0502F |
|
2,494 |
1,485 |
$140K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
520 |
354 |
$52K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
419 |
323 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
88 |
83 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
115 |
85 |
$4K |
| 59025 |
Fetal non-stress test |
98 |
53 |
$2K |
| 0500F |
|
14 |
13 |
$617.40 |
| 81025 |
|
86 |
68 |
$440.53 |
| 36415 |
Collection of venous blood by venipuncture |
936 |
805 |
$233.35 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
18 |
16 |
$0.00 |