| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,517 |
3,024 |
$146K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,269 |
1,077 |
$59K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
623 |
514 |
$38K |
| 81025 |
|
4,536 |
3,268 |
$20K |
| 87808 |
|
1,638 |
1,335 |
$11K |
| 87899 |
|
1,629 |
1,332 |
$11K |
| 81002 |
|
5,609 |
3,673 |
$8K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
90 |
68 |
$3K |