| Code | Description | Claims | Beneficiaries | Total Paid |
| 50590 |
|
129 |
129 |
$143K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,508 |
2,391 |
$100K |
| 52332 |
|
79 |
78 |
$31K |
| 99233 |
Prolong inpt eval add15 m |
51 |
40 |
$9K |
| 99223 |
Prolong inpt eval add15 m |
57 |
57 |
$7K |
| 52353 |
|
24 |
24 |
$7K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
127 |
123 |
$6K |
| 52000 |
|
88 |
76 |
$6K |
| 76770 |
|
41 |
39 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
33 |
33 |
$3K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
41 |
41 |
$3K |
| 51741 |
|
72 |
66 |
$1K |
| 76857 |
|
18 |
15 |
$775.28 |