| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,186 |
1,855 |
$164K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
692 |
672 |
$71K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
573 |
540 |
$52K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
643 |
284 |
$42K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
396 |
393 |
$38K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
217 |
98 |
$14K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
188 |
172 |
$13K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
199 |
110 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
102 |
102 |
$10K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
88 |
85 |
$8K |
| 59025 |
Fetal non-stress test |
182 |
84 |
$6K |
| 76801 |
|
65 |
60 |
$4K |
| 90832 |
Psychotherapy, 30 minutes with patient |
62 |
60 |
$3K |
| 76813 |
|
41 |
36 |
$3K |
| 99215 |
Prolong outpt/office vis |
16 |
16 |
$2K |
| 99381 |
|
30 |
30 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
17 |
16 |
$1K |
| 99383 |
|
12 |
12 |
$1K |
| 97165 |
|
12 |
12 |
$1K |
| 99429 |
|
24 |
24 |
$477.59 |
| 92015 |
Determination of refractive state |
12 |
12 |
$64.01 |