| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
636 |
537 |
$19K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
423 |
382 |
$18K |
| 81025 |
|
1,028 |
997 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
292 |
279 |
$6K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
66 |
66 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
69 |
69 |
$3K |
| 99201 |
|
58 |
58 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
85 |
76 |
$1K |
| 99385 |
|
13 |
13 |
$943.02 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
13 |
$629.60 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
59 |
55 |
$367.08 |
| 81002 |
|
25 |
25 |
$67.16 |