| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59425 |
|
3,339 |
2,274 |
$218K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,137 |
3,641 |
$173K |
| 99223 |
Prolong inpt eval add15 m |
841 |
801 |
$67K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
748 |
745 |
$57K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,305 |
1,182 |
$32K |
| 88141 |
|
1,258 |
1,022 |
$26K |
| 99235 |
|
183 |
178 |
$20K |
| 87110 |
|
450 |
436 |
$8K |
| 99215 |
Prolong outpt/office vis |
55 |
55 |
$7K |
| 87070 |
|
904 |
894 |
$7K |
| 81005 |
|
2,750 |
2,056 |
$5K |
| 76801 |
|
58 |
57 |
$5K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
47 |
40 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
55 |
55 |
$3K |
| 81003 |
|
1,373 |
1,051 |
$3K |
| 81025 |
|
863 |
835 |
$3K |
| 99000 |
|
579 |
574 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
32 |
30 |
$2K |
| 58558 |
|
12 |
12 |
$2K |
| 59430 |
|
12 |
12 |
$760.42 |
| 87040 |
|
43 |
43 |
$409.15 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
15 |
$330.55 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
13 |
$225.16 |
| 81002 |
|
31 |
25 |
$72.85 |