| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,379 |
2,257 |
$63K |
| 59425 |
|
766 |
521 |
$46K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
228 |
227 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
314 |
309 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
187 |
186 |
$11K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
162 |
153 |
$4K |
| 81000 |
|
1,246 |
989 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
14 |
13 |
$873.11 |
| 81025 |
|
158 |
158 |
$440.73 |
| 99072 |
|
44 |
42 |
$60.00 |
| 81002 |
|
22 |
13 |
$44.59 |