| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,273 |
1,840 |
$210K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
746 |
615 |
$30K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
145 |
119 |
$9K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
147 |
99 |
$8K |
| 81002 |
|
2,741 |
1,607 |
$6K |
| 59430 |
|
68 |
26 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
115 |
102 |
$3K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
42 |
38 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
42 |
40 |
$2K |
| 99215 |
Prolong outpt/office vis |
14 |
13 |
$1K |
| 59025 |
Fetal non-stress test |
16 |
13 |
$372.01 |