| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,350 |
862 |
$116K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
256 |
230 |
$20K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
320 |
250 |
$14K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
1,034 |
988 |
$9K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
542 |
518 |
$7K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
215 |
212 |
$2K |
| 99219 |
|
14 |
12 |
$1K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
53 |
45 |
$1K |
| 59025 |
Fetal non-stress test |
73 |
38 |
$526.46 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
16 |
14 |
$249.87 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
28 |
26 |
$0.00 |