| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,855 |
6,392 |
$159K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,029 |
956 |
$39K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
520 |
514 |
$21K |
| 76857 |
|
243 |
239 |
$5K |
| 99222 |
Initial hospital care, per day, moderate complexity |
53 |
52 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
15 |
$950.34 |
| 76872 |
|
12 |
12 |
$812.61 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
48 |
47 |
$809.83 |
| 76775 |
|
14 |
14 |
$352.36 |
| 51798 |
|
41 |
41 |
$318.21 |
| 81003 |
|
58 |
58 |
$63.98 |
| 88112 |
|
13 |
13 |
$49.00 |