| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,575 |
4,082 |
$278K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
414 |
282 |
$25K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
54 |
41 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
98 |
67 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
38 |
29 |
$796.68 |
| 99243 |
|
15 |
14 |
$351.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
22 |
14 |
$70.68 |