| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,906 |
12,263 |
$2.17M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12,971 |
10,878 |
$1.88M |
| 59426 |
|
11,548 |
5,497 |
$1.83M |
| 59425 |
|
5,106 |
3,447 |
$778K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,128 |
3,664 |
$627K |
| 59515 |
|
191 |
169 |
$171K |
| 99234 |
|
1,988 |
1,351 |
$157K |
| 59410 |
|
209 |
191 |
$136K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
383 |
272 |
$45K |
| 99218 |
|
511 |
401 |
$33K |
| 99217 |
|
328 |
245 |
$11K |
| 49320 |
|
15 |
13 |
$3K |
| 99201 |
|
14 |
13 |
$2K |
| 59025 |
Fetal non-stress test |
148 |
83 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
12 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
16 |
15 |
$1K |
| 99222 |
Initial hospital care, per day, moderate complexity |
30 |
26 |
$1K |
| 76818 |
|
75 |
28 |
$419.94 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
18 |
15 |
$301.80 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
34 |
12 |
$247.94 |
| 81002 |
|
116 |
95 |
$3.06 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
27 |
25 |
$0.00 |
| 0502F |
|
811 |
515 |
$0.00 |
| 81025 |
|
79 |
69 |
$0.00 |
| 82948 |
|
13 |
12 |
$0.00 |