| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,330 |
3,151 |
$149K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
920 |
845 |
$70K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
833 |
690 |
$50K |
| 59025 |
Fetal non-stress test |
541 |
370 |
$18K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
105 |
105 |
$18K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
51 |
51 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
25 |
25 |
$3K |
| 99223 |
Prolong inpt eval add15 m |
13 |
13 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
24 |
24 |
$881.42 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
31 |
13 |
$840.72 |
| 51741 |
|
12 |
12 |
$171.48 |
| 51798 |
|
13 |
13 |
$139.88 |
| 81002 |
|
29 |
29 |
$105.85 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
12 |
$71.45 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$4.26 |
| 99199 |
Unlisted special service, procedure or report |
172 |
163 |
$0.00 |