| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,801 |
1,493 |
$162K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,422 |
2,057 |
$138K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
179 |
179 |
$24K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
214 |
149 |
$17K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
95 |
95 |
$9K |
| 59426 |
|
97 |
60 |
$7K |
| 88174 |
|
700 |
699 |
$6K |
| 99386 |
|
25 |
25 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$989.84 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$598.26 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
15 |
$477.18 |
| 99072 |
|
84 |
69 |
$210.00 |
| 81002 |
|
94 |
66 |
$47.43 |