| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
891 |
756 |
$58K |
| 0502F |
|
187 |
136 |
$23K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
95 |
54 |
$11K |
| 99222 |
Initial hospital care, per day, moderate complexity |
71 |
55 |
$7K |
| 3074F |
|
494 |
404 |
$7K |
| 3078F |
|
459 |
383 |
$6K |
| 81000 |
|
972 |
698 |
$3K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
12 |
12 |
$1K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
12 |
12 |
$800.05 |
| 3079F |
|
31 |
24 |
$440.10 |
| 3075F |
|
27 |
24 |
$440.05 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
17 |
15 |
$318.69 |
| 2000F |
|
384 |
302 |
$0.00 |
| 2001F |
|
388 |
305 |
$0.00 |
| 1036F |
|
265 |
213 |
$0.00 |
| 1034F |
|
15 |
12 |
$0.00 |