| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,560 |
3,289 |
$195K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
589 |
561 |
$44K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
400 |
400 |
$33K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
12 |
12 |
$21K |
| 81002 |
|
5,733 |
3,572 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
137 |
137 |
$11K |
| 99460 |
|
96 |
96 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
110 |
101 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
31 |
31 |
$4K |
| 99215 |
Prolong outpt/office vis |
27 |
24 |
$3K |
| 99462 |
|
85 |
50 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
12 |
12 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
29 |
29 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
31 |
31 |
$2K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
13 |
13 |
$968.90 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$960.59 |
| 59025 |
Fetal non-stress test |
22 |
16 |
$569.02 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
143 |
96 |
$361.45 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
13 |
$178.88 |
| 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) |
13 |
13 |
$68.28 |
| 36415 |
Collection of venous blood by venipuncture |
15 |
15 |
$2.10 |