| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,049 |
2,864 |
$133K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,219 |
4,857 |
$127K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,027 |
941 |
$48K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
668 |
620 |
$40K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
361 |
344 |
$11K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
165 |
161 |
$7K |
| 99215 |
Prolong outpt/office vis |
27 |
26 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
113 |
96 |
$2K |
| 76857 |
|
65 |
59 |
$2K |
| 99385 |
|
14 |
13 |
$747.96 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
12 |
12 |
$738.12 |
| 11302 |
|
16 |
12 |
$602.98 |
| 81003 |
|
4,805 |
4,437 |
$486.12 |
| 17110 |
|
13 |
13 |
$398.51 |
| 46600 |
|
12 |
12 |
$381.83 |
| 99443 |
|
12 |
12 |
$324.95 |
| 81025 |
|
70 |
67 |
$217.60 |
| 99441 |
|
19 |
19 |
$52.44 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$0.00 |