| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,010 |
2,201 |
$145K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,472 |
2,988 |
$91K |
| 76830 |
Ultrasound, transvaginal |
1,565 |
1,197 |
$69K |
| T1015 |
Clinic visit/encounter, all-inclusive |
2,751 |
1,295 |
$44K |
| 58558 |
|
172 |
119 |
$23K |
| 99220 |
|
163 |
125 |
$13K |
| 59025 |
Fetal non-stress test |
631 |
203 |
$12K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
145 |
123 |
$9K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
184 |
125 |
$7K |
| 80305 |
|
1,207 |
581 |
$6K |
| 51729 |
|
40 |
24 |
$4K |
| 57454 |
|
44 |
41 |
$4K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
40 |
38 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
156 |
121 |
$3K |
| 81025 |
|
657 |
499 |
$3K |
| 51797 |
|
40 |
24 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
42 |
25 |
$2K |
| 51784 |
|
40 |
24 |
$1K |
| 51741 |
|
40 |
24 |
$560.53 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
14 |
12 |
$458.50 |
| 51798 |
|
41 |
24 |
$215.31 |
| 81002 |
|
380 |
156 |
$88.90 |
| 2001F |
|
47 |
40 |
$0.00 |
| 2000F |
|
62 |
53 |
$0.00 |
| 3008F |
|
33 |
27 |
$0.00 |