| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,182 |
2,079 |
$116K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,445 |
938 |
$81K |
| 59514 |
|
82 |
79 |
$21K |
| 99205 |
Prolong outpt/office vis |
188 |
157 |
$17K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
229 |
88 |
$13K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
173 |
144 |
$13K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
120 |
110 |
$9K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
151 |
136 |
$9K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
718 |
672 |
$7K |
| 81000 |
|
3,838 |
2,137 |
$5K |
| 59430 |
|
63 |
53 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
105 |
81 |
$5K |
| 99459 |
|
566 |
338 |
$3K |
| 81025 |
|
573 |
479 |
$3K |
| 76801 |
|
19 |
19 |
$1K |
| 99215 |
Prolong outpt/office vis |
16 |
13 |
$979.51 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
30 |
15 |
$949.39 |
| 96127 |
|
1,375 |
927 |
$806.94 |
| 87210 |
|
46 |
29 |
$114.71 |
| 99000 |
|
29 |
27 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
74 |
51 |
$0.00 |