| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,751 |
2,573 |
$81K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,367 |
1,258 |
$34K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,802 |
1,642 |
$22K |
| 76770 |
|
743 |
724 |
$6K |
| 51741 |
|
515 |
506 |
$3K |
| 76775 |
|
367 |
254 |
$2K |
| 76857 |
|
357 |
332 |
$2K |
| 51798 |
|
445 |
429 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
51 |
51 |
$578.27 |
| 81003 |
|
2,540 |
2,338 |
$456.01 |
| 81000 |
|
944 |
840 |
$306.98 |
| 82570 |
|
1,617 |
1,511 |
$215.57 |
| 52000 |
|
13 |
13 |
$211.95 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
673 |
593 |
$183.62 |
| 81001 |
|
354 |
338 |
$60.20 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
29 |
29 |
$48.18 |
| 87088 |
|
219 |
201 |
$6.08 |
| 87077 |
|
70 |
63 |
$0.00 |
| 84153 |
|
13 |
13 |
$0.00 |
| 87184 |
|
50 |
45 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
13 |
13 |
$0.00 |