| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 64566 |
|
1,263 |
600 |
$30K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,397 |
1,573 |
$27K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
213 |
212 |
$3K |
| 51729 |
|
50 |
49 |
$2K |
| 51797 |
|
50 |
49 |
$519.85 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
53 |
53 |
$481.61 |
| 51784 |
|
75 |
74 |
$415.55 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
85 |
84 |
$375.00 |
| 99215 |
Prolong outpt/office vis |
24 |
24 |
$228.80 |
| 51741 |
|
75 |
74 |
$208.88 |
| 99205 |
Prolong outpt/office vis |
56 |
56 |
$165.40 |
| G8952 |
Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given |
47 |
29 |
$0.00 |
| 0509F |
|
14 |
13 |
$0.00 |