| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,153 |
6,449 |
$708K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,883 |
4,598 |
$650K |
| 76830 |
Ultrasound, transvaginal |
2,315 |
2,293 |
$269K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
2,463 |
2,436 |
$249K |
| 99215 |
Prolong outpt/office vis |
1,173 |
1,097 |
$184K |
| 59430 |
|
778 |
595 |
$158K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,001 |
991 |
$107K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
603 |
595 |
$68K |
| 99385 |
|
291 |
289 |
$34K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
355 |
350 |
$33K |
| 99386 |
|
84 |
84 |
$12K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
47 |
40 |
$4K |
| 59025 |
Fetal non-stress test |
114 |
58 |
$2K |
| 99233 |
Prolong inpt eval add15 m |
23 |
13 |
$1K |