| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,722 |
3,543 |
$340K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,878 |
1,954 |
$122K |
| 99215 |
Prolong outpt/office vis |
831 |
616 |
$53K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
95 |
69 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
25 |
15 |
$2K |
| 96127 |
|
43 |
32 |
$500.40 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
17 |
16 |
$248.20 |