| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
811 |
503 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
201 |
137 |
$6K |
| 59430 |
|
45 |
30 |
$2K |
| 76801 |
|
14 |
14 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
85 |
53 |
$1K |
| 81003 |
|
876 |
481 |
$968.09 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
13 |
12 |
$789.15 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
75 |
46 |
$493.10 |
| 99000 |
|
64 |
50 |
$308.88 |
| 81025 |
|
30 |
28 |
$173.16 |
| 36415 |
Collection of venous blood by venipuncture |
75 |
43 |
$0.00 |