| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,204 |
2,714 |
$82K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
843 |
727 |
$40K |
| 99243 |
|
284 |
233 |
$19K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
296 |
242 |
$13K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
100 |
88 |
$9K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
63 |
25 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
99 |
79 |
$6K |
| 81025 |
|
791 |
649 |
$4K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
77 |
64 |
$3K |
| 99215 |
Prolong outpt/office vis |
56 |
55 |
$3K |
| 92567 |
|
318 |
275 |
$3K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
28 |
25 |
$2K |
| 76830 |
Ultrasound, transvaginal |
16 |
14 |
$2K |
| 99242 |
|
38 |
33 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
89 |
79 |
$2K |
| 51798 |
|
243 |
217 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
139 |
125 |
$1K |
| 52000 |
|
26 |
26 |
$983.40 |
| 76801 |
|
13 |
12 |
$971.52 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
83 |
76 |
$662.91 |
| 31575 |
|
19 |
13 |
$575.88 |
| 81002 |
|
95 |
83 |
$124.44 |
| 99441 |
|
96 |
56 |
$52.49 |
| 92588 |
|
18 |
18 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
52 |
50 |
$0.00 |