| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59425 |
|
5,034 |
3,508 |
$299K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,074 |
2,839 |
$188K |
| 57265 |
|
107 |
105 |
$83K |
| 99205 |
Prolong outpt/office vis |
658 |
658 |
$74K |
| 99215 |
Prolong outpt/office vis |
1,006 |
982 |
$69K |
| 57288 |
|
116 |
114 |
$50K |
| 46750 |
|
97 |
95 |
$35K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
233 |
233 |
$32K |
| 0500F |
|
538 |
457 |
$25K |
| 57283 |
|
65 |
65 |
$20K |
| 59430 |
|
319 |
277 |
$18K |
| 3351F |
|
292 |
292 |
$17K |
| 51700 |
|
178 |
162 |
$14K |
| 81003 |
|
4,507 |
3,409 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
244 |
234 |
$8K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
150 |
150 |
$8K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
108 |
108 |
$7K |
| 76830 |
Ultrasound, transvaginal |
96 |
96 |
$6K |
| 99000 |
|
1,234 |
1,203 |
$4K |
| 81025 |
|
1,306 |
1,216 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
44 |
43 |
$3K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
15 |
15 |
$1K |
| 90715 |
|
13 |
13 |
$913.75 |
| 76857 |
|
12 |
12 |
$501.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
382 |
372 |
$378.18 |
| 88142 |
|
74 |
73 |
$73.26 |
| 3075F |
|
844 |
779 |
$50.00 |
| 3078F |
|
6,177 |
4,895 |
$0.00 |
| 3077F |
|
152 |
140 |
$0.00 |
| 0502F |
|
5,051 |
3,498 |
$0.00 |
| 3074F |
|
6,394 |
5,049 |
$0.00 |
| 3079F |
|
1,219 |
1,081 |
$0.00 |
| 0503F |
|
82 |
78 |
$0.00 |
| 3080F |
|
26 |
25 |
$0.00 |