| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
912 |
674 |
$72K |
| 99215 |
Prolong outpt/office vis |
642 |
389 |
$67K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
145 |
109 |
$8K |
| 81002 |
|
1,557 |
972 |
$4K |
| 99000 |
|
851 |
717 |
$3K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
46 |
41 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
434 |
372 |
$828.08 |
| 59025 |
Fetal non-stress test |
44 |
14 |
$816.28 |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
34 |
12 |
$762.39 |
| 81025 |
|
78 |
72 |
$465.84 |
| 76827 |
|
39 |
33 |
$0.00 |