| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,872 |
2,251 |
$191K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,187 |
2,500 |
$143K |
| 99215 |
Prolong outpt/office vis |
1,611 |
1,297 |
$140K |
| 99442 |
|
530 |
429 |
$24K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
12 |
12 |
$20K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
445 |
388 |
$13K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
177 |
147 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
149 |
123 |
$9K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
49 |
39 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
74 |
65 |
$3K |
| 80061 |
Lipid panel |
268 |
223 |
$2K |
| 81025 |
|
417 |
354 |
$2K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
39 |
29 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
39 |
29 |
$2K |
| 76801 |
|
23 |
16 |
$2K |
| 99441 |
|
23 |
15 |
$498.85 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
61 |
51 |
$428.47 |
| 81002 |
|
68 |
56 |
$155.46 |