| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,804 |
3,519 |
$61K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,094 |
1,020 |
$34K |
| 76872 |
|
898 |
877 |
$29K |
| 76775 |
|
970 |
953 |
$19K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
220 |
219 |
$12K |
| 76857 |
|
701 |
687 |
$12K |
| 64566 |
|
373 |
189 |
$9K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
453 |
452 |
$7K |
| 99490 |
Ccm add 20min |
277 |
276 |
$4K |
| 76770 |
|
459 |
459 |
$4K |
| 51798 |
|
1,854 |
1,773 |
$3K |
| 51741 |
|
600 |
586 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
57 |
57 |
$2K |
| 74178 |
|
13 |
13 |
$1K |
| 93976 |
|
37 |
36 |
$1K |
| 81003 |
|
2,863 |
2,469 |
$625.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
66 |
56 |
$381.99 |
| 99442 |
|
12 |
12 |
$381.39 |
| 81002 |
|
760 |
689 |
$315.60 |
| 51784 |
|
19 |
17 |
$262.78 |
| 36415 |
Collection of venous blood by venipuncture |
499 |
498 |
$63.37 |
| 87084 |
|
209 |
200 |
$9.47 |
| 80053 |
Comprehensive metabolic panel |
82 |
82 |
$4.56 |
| 82570 |
|
141 |
141 |
$4.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
12 |
12 |
$0.00 |
| 84154 |
|
18 |
18 |
$0.00 |
| 84153 |
|
60 |
60 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
13 |
13 |
$0.00 |
| 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) |
117 |
110 |
$0.00 |