| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,768 |
4,582 |
$294K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,389 |
2,333 |
$215K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
853 |
850 |
$74K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
306 |
306 |
$40K |
| 94010 |
|
1,409 |
1,404 |
$32K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
13 |
13 |
$25K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
277 |
270 |
$18K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
108 |
107 |
$9K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
63 |
63 |
$6K |
| 59425 |
|
17 |
17 |
$6K |
| 94729 |
|
156 |
156 |
$6K |
| 94726 |
|
144 |
144 |
$5K |
| S0285 |
Colonoscopy consultation performed prior to a screening colonoscopy procedure |
106 |
106 |
$5K |
| 94060 |
|
115 |
115 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
109 |
103 |
$4K |
| 59025 |
Fetal non-stress test |
108 |
92 |
$3K |
| 99406 |
|
83 |
83 |
$640.86 |
| 85018 |
|
125 |
125 |
$213.90 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
14 |
$183.12 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12 |
12 |
$160.10 |
| 81025 |
|
14 |
14 |
$83.12 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
14 |
14 |
$75.54 |
| 93000 |
|
12 |
12 |
$70.64 |
| 94200 |
|
55 |
55 |
$0.00 |