| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,713 |
4,490 |
$42K |
| 99223 |
Prolong inpt eval add15 m |
351 |
345 |
$12K |
| 99233 |
Prolong inpt eval add15 m |
433 |
162 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
412 |
412 |
$4K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
210 |
210 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
64 |
64 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
76 |
76 |
$1K |
| 76770 |
|
65 |
65 |
$820.73 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$0.00 |