| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59425 |
|
2,663 |
1,505 |
$148K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,663 |
2,263 |
$127K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,438 |
1,407 |
$122K |
| Z1034 |
|
631 |
349 |
$34K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
175 |
156 |
$27K |
| 99000 |
|
1,770 |
1,463 |
$6K |
| 88141 |
|
88 |
52 |
$4K |
| Z1032 |
|
25 |
25 |
$4K |
| Z6500 |
|
26 |
26 |
$3K |
| Z6410 |
|
276 |
175 |
$3K |
| 3351F |
|
42 |
42 |
$2K |
| Z6400 |
|
114 |
109 |
$2K |
| 81025 |
|
355 |
297 |
$1K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
37 |
37 |
$391.83 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
13 |
13 |
$329.29 |