| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,053 |
986 |
$136K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,271 |
3,833 |
$116K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,003 |
917 |
$49K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
522 |
497 |
$41K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
769 |
737 |
$30K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
439 |
426 |
$29K |
| 51798 |
|
2,273 |
2,072 |
$14K |
| 81003 |
|
6,575 |
5,835 |
$13K |
| 99442 |
|
26 |
18 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
80 |
80 |
$2K |
| 99441 |
|
27 |
26 |
$923.73 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
13 |
13 |
$685.47 |
| 76775 |
|
12 |
12 |
$482.22 |
| 52000 |
|
13 |
13 |
$0.00 |