| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
569 |
357 |
$64K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
191 |
152 |
$14K |
| 59430 |
|
26 |
26 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
27 |
13 |
$3K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
13 |
13 |
$576.09 |
| 90656 |
|
19 |
15 |
$381.61 |
| 81003 |
|
16 |
12 |
$35.09 |