| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,179 |
4,940 |
$130K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,531 |
3,514 |
$109K |
| 51798 |
|
9,581 |
9,061 |
$50K |
| 51741 |
|
4,426 |
4,396 |
$30K |
| 93976 |
|
489 |
483 |
$19K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
248 |
248 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
402 |
373 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
219 |
218 |
$8K |
| 81000 |
|
10,163 |
9,678 |
$6K |
| 99223 |
Prolong inpt eval add15 m |
177 |
176 |
$5K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
575 |
571 |
$4K |
| 52000 |
|
68 |
66 |
$4K |
| 99441 |
|
198 |
189 |
$4K |
| 76775 |
|
286 |
285 |
$802.64 |
| 99233 |
Prolong inpt eval add15 m |
63 |
27 |
$181.36 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
76 |
76 |
$0.00 |
| 87640 |
|
76 |
76 |
$0.00 |
| 87500 |
|
76 |
76 |
$0.00 |
| 51725 |
|
13 |
13 |
$0.00 |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
76 |
76 |
$0.00 |
| 87481 |
|
76 |
76 |
$0.00 |
| 87641 |
|
76 |
76 |
$0.00 |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
76 |
76 |
$0.00 |
| 87653 |
|
76 |
76 |
$0.00 |
| 87563 |
|
33 |
33 |
$0.00 |