| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 43775 |
|
249 |
204 |
$234K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,136 |
2,682 |
$125K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,492 |
3,856 |
$91K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
496 |
455 |
$55K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
748 |
598 |
$35K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
426 |
358 |
$34K |
| 99205 |
Prolong outpt/office vis |
189 |
146 |
$21K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
150 |
141 |
$13K |
| 47001 |
|
89 |
72 |
$6K |
| 83013 |
|
74 |
66 |
$2K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
14 |
13 |
$2K |
| 94690 |
|
50 |
45 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
31 |
25 |
$1K |
| 99215 |
Prolong outpt/office vis |
16 |
12 |
$1K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
17 |
12 |
$744.59 |
| 99406 |
|
70 |
66 |
$436.16 |
| 96146 |
|
407 |
330 |
$434.37 |
| 83014 |
|
71 |
65 |
$284.61 |
| 99443 |
|
32 |
16 |
$64.36 |
| 98967 |
|
16 |
13 |
$22.95 |
| 99441 |
|
14 |
14 |
$9.06 |
| 3008F |
|
3,046 |
2,500 |
$0.00 |
| 1036F |
|
745 |
641 |
$0.00 |
| 1000F |
|
14 |
12 |
$0.00 |
| 99024 |
|
132 |
98 |
$0.00 |
| 4000F |
|
14 |
12 |
$0.00 |