| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,749 |
1,177 |
$52K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
327 |
271 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
461 |
301 |
$9K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
65 |
50 |
$2K |
| 81003 |
|
576 |
378 |
$900.23 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
17 |
12 |
$785.63 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
12 |
$633.81 |
| 81002 |
|
82 |
54 |
$232.29 |
| 99000 |
|
13 |
12 |
$87.48 |
| 36415 |
Collection of venous blood by venipuncture |
34 |
28 |
$0.00 |
| 99459 |
|
14 |
13 |
$0.00 |