| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,236 |
793 |
$17K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
384 |
303 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
136 |
97 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
83 |
52 |
$3K |
| 99223 |
Prolong inpt eval add15 m |
98 |
63 |
$2K |
| 59025 |
Fetal non-stress test |
69 |
53 |
$1K |
| 81002 |
|
639 |
370 |
$822.62 |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
16 |
13 |
$512.06 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
19 |
15 |
$371.54 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
39 |
27 |
$298.33 |
| 99233 |
Prolong inpt eval add15 m |
64 |
14 |
$221.92 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
21 |
18 |
$81.00 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
16 |
13 |
$0.69 |
| 0502F |
|
621 |
376 |
$0.00 |
| 3078F |
|
50 |
45 |
$0.00 |
| 3074F |
|
59 |
53 |
$0.00 |
| 3008F |
|
145 |
128 |
$0.00 |
| 1126F |
|
14 |
14 |
$0.00 |