| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
255 |
241 |
$18K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
251 |
214 |
$9K |
| 99215 |
Prolong outpt/office vis |
66 |
65 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
29 |
29 |
$2K |
| 89060 |
|
38 |
35 |
$724.42 |
| 87210 |
|
100 |
98 |
$646.41 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
20 |
20 |
$550.53 |