| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,312 |
1,204 |
$55K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
612 |
561 |
$45K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
777 |
644 |
$34K |
| 0502F |
|
686 |
569 |
$30K |
| 59025 |
Fetal non-stress test |
1,964 |
1,683 |
$15K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
412 |
356 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
75 |
62 |
$5K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
173 |
161 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
42 |
33 |
$2K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
25 |
12 |
$1K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
25 |
12 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
19 |
16 |
$461.70 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$408.24 |
| 81002 |
|
137 |
117 |
$343.20 |
| 81003 |
|
122 |
79 |
$265.96 |