| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,423 |
951 |
$50K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
814 |
570 |
$16K |
| 59410 |
|
14 |
14 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
32 |
30 |
$2K |
| 81003 |
|
1,990 |
1,189 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
105 |
71 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
50 |
39 |
$2K |
| 81025 |
|
507 |
384 |
$1K |
| 99459 |
|
108 |
89 |
$926.33 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
17 |
12 |
$407.71 |
| 36415 |
Collection of venous blood by venipuncture |
122 |
96 |
$293.60 |
| 81002 |
|
81 |
49 |
$51.60 |
| 80305 |
|
15 |
14 |
$39.18 |
| 96127 |
|
16 |
13 |
$1.14 |
| 99000 |
|
458 |
337 |
$0.00 |