| Code | Description | Claims | Beneficiaries | Total Paid |
| 50590 |
|
363 |
349 |
$402K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,288 |
3,833 |
$156K |
| 52332 |
|
54 |
52 |
$11K |
| 76770 |
|
133 |
102 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
281 |
269 |
$10K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
158 |
153 |
$8K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
155 |
147 |
$4K |
| 96402 |
|
93 |
93 |
$3K |
| 99223 |
Prolong inpt eval add15 m |
72 |
68 |
$3K |
| 76872 |
|
30 |
30 |
$3K |
| 99233 |
Prolong inpt eval add15 m |
75 |
59 |
$2K |
| 51741 |
|
158 |
153 |
$2K |
| 52000 |
|
12 |
12 |
$2K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
17 |
16 |
$544.00 |