| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,639 |
3,772 |
$260K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,361 |
2,097 |
$161K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
504 |
482 |
$29K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
490 |
458 |
$27K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
383 |
331 |
$24K |
| 59025 |
Fetal non-stress test |
298 |
214 |
$7K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
64 |
54 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
162 |
127 |
$3K |
| 81025 |
|
100 |
91 |
$545.98 |
| 96127 |
|
49 |
48 |
$199.43 |
| 99072 |
|
537 |
503 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
25 |
25 |
$0.00 |
| 99000 |
|
35 |
34 |
$0.00 |