| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,660 |
1,343 |
$50K |
| 52356 |
|
44 |
41 |
$40K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
192 |
181 |
$16K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
192 |
176 |
$11K |
| 99251 |
|
178 |
153 |
$6K |
| 99254 |
|
114 |
101 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
170 |
158 |
$5K |
| 51741 |
|
200 |
188 |
$4K |
| 51729 |
|
14 |
14 |
$4K |
| 74420 |
|
119 |
113 |
$3K |
| 51784 |
|
14 |
14 |
$2K |
| 51797 |
|
14 |
14 |
$1K |
| 76872 |
|
14 |
14 |
$1K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
28 |
16 |
$750.00 |
| 51798 |
|
15 |
15 |
$47.07 |