| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
10,936 |
10,731 |
$918K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,096 |
5,075 |
$553K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,565 |
6,181 |
$549K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
2,708 |
2,701 |
$412K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,603 |
2,602 |
$260K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,240 |
1,240 |
$164K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,452 |
1,450 |
$130K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
618 |
618 |
$65K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
844 |
832 |
$46K |
| 99401 |
|
1,318 |
1,315 |
$35K |
| 59025 |
Fetal non-stress test |
585 |
205 |
$29K |
| 99051 |
|
4,474 |
3,994 |
$28K |
| 99441 |
|
581 |
555 |
$26K |
| 99459 |
|
952 |
930 |
$19K |
| 99386 |
|
41 |
41 |
$5K |
| 59051 |
|
136 |
54 |
$4K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
374 |
366 |
$3K |
| 99072 |
|
574 |
496 |
$2K |
| 96127 |
|
12 |
12 |
$57.70 |