| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
18,188 |
18,174 |
$2.78M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,719 |
19,467 |
$2.03M |
| 76775 |
|
9,416 |
9,352 |
$734K |
| 54300 |
|
680 |
680 |
$655K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,416 |
2,415 |
$547K |
| 51784 |
|
2,360 |
2,202 |
$532K |
| 54161 |
|
1,788 |
1,685 |
$366K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,436 |
1,420 |
$240K |
| 51798 |
|
10,893 |
10,484 |
$190K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,320 |
1,310 |
$131K |
| 76857 |
|
1,811 |
1,794 |
$126K |
| 51741 |
|
1,919 |
1,652 |
$92K |
| 76770 |
|
850 |
848 |
$86K |
| 76870 |
|
455 |
454 |
$50K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
840 |
826 |
$49K |
| 99243 |
|
511 |
501 |
$43K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
372 |
372 |
$34K |
| 54150 |
|
94 |
94 |
$23K |
| 54512 |
|
39 |
39 |
$19K |
| 81002 |
|
6,299 |
6,181 |
$17K |
| 14040 |
|
13 |
12 |
$7K |
| 49320 |
|
15 |
12 |
$3K |
| 93976 |
|
15 |
15 |
$3K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
16 |
16 |
$2K |
| 99384 |
|
12 |
12 |
$2K |
| 76140 |
|
357 |
345 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$2K |
| 54450 |
|
162 |
157 |
$1K |
| 64450 |
|
1,996 |
1,996 |
$314.87 |
| 53605 |
|
12 |
12 |
$127.35 |
| 64425 |
|
12 |
12 |
$0.00 |