| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,088 |
956 |
$60K |
| 99385 |
|
370 |
322 |
$35K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
279 |
245 |
$20K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
175 |
150 |
$19K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
179 |
173 |
$15K |
| 76801 |
|
67 |
57 |
$6K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
47 |
44 |
$5K |
| 81005 |
|
2,751 |
1,683 |
$3K |
| 99386 |
|
15 |
13 |
$1K |
| 81025 |
|
384 |
325 |
$1K |
| 59025 |
Fetal non-stress test |
57 |
47 |
$1K |
| 99222 |
Initial hospital care, per day, moderate complexity |
18 |
17 |
$964.07 |
| 99459 |
|
58 |
54 |
$947.11 |
| 81002 |
|
541 |
399 |
$879.88 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
16 |
16 |
$551.08 |
| 0503F |
|
37 |
27 |
$260.00 |
| 81007 |
|
402 |
286 |
$46.86 |
| 0502F |
|
2,461 |
1,449 |
$0.00 |
| 0500F |
|
13 |
13 |
$0.00 |
| 0501F |
|
49 |
32 |
$0.00 |