| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
608 |
563 |
$50K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
735 |
699 |
$45K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
299 |
266 |
$23K |
| 81002 |
|
2,759 |
1,936 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$2K |
| 81025 |
|
287 |
270 |
$1K |
| 0502F |
|
120 |
81 |
$0.00 |
| 99000 |
|
371 |
283 |
$0.00 |