| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,042 |
862 |
$70K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,307 |
1,127 |
$65K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
286 |
257 |
$13K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
162 |
124 |
$13K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
286 |
248 |
$10K |
| 64435 |
|
179 |
136 |
$9K |
| 81025 |
|
1,442 |
1,164 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
247 |
172 |
$6K |
| 99215 |
Prolong outpt/office vis |
59 |
47 |
$5K |
| 76801 |
|
32 |
24 |
$2K |
| 86901 |
|
402 |
296 |
$2K |
| 58300 |
|
19 |
14 |
$2K |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
349 |
269 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
15 |
15 |
$444.75 |