| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 00731 |
|
122 |
105 |
$4K |
| 00811 |
|
121 |
109 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15 |
14 |
$722.18 |
| 00812 |
|
16 |
16 |
$675.18 |
| 93016 |
|
97 |
97 |
$504.66 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
15 |
13 |
$24.66 |
| 99100 |
|
43 |
36 |
$23.73 |
| 3008F |
|
17 |
14 |
$0.00 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
53 |
44 |
$0.00 |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
15 |
12 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
43 |
32 |
$0.00 |
| 1160F |
|
16 |
13 |
$0.00 |