| Code | Description | Total Paid |
|---|---|---|
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | $15K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | $9K |
| 59025 | Fetal non-stress test | $5K |
| 3074F | $0.00 |
| # | Provider | Location | Claims | Total Paid |
|---|---|---|---|---|
| 1 | TATE, MELISSA | URBANA, IL | 1,043 | $28K |
| 2 | SMITH, MARGARET | HUNTINGTON STATION, NY | 27 | $945.32 |