| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
337 |
304 |
$26K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
187 |
111 |
$12K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
135 |
126 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
138 |
116 |
$8K |
| 59025 |
Fetal non-stress test |
845 |
746 |
$7K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
188 |
172 |
$6K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
66 |
52 |
$1K |
| 0502F |
|
19 |
12 |
$846.74 |
| 81002 |
|
158 |
103 |
$403.99 |