| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
1,499 |
1,083 |
$83K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
700 |
624 |
$27K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
377 |
293 |
$13K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
147 |
143 |
$13K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
275 |
201 |
$12K |
| 76770 |
|
25 |
25 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
13 |
$1K |
| 99072 |
|
498 |
329 |
$940.00 |