| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,176 |
1,061 |
$31K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
287 |
268 |
$6K |
| 99233 |
Prolong inpt eval add15 m |
99 |
24 |
$4K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
72 |
62 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
30 |
28 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
28 |
28 |
$1K |
| 91200 |
|
42 |
41 |
$148.99 |
| 99490 |
Ccm add 20min |
134 |
134 |
$0.00 |