| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,734 |
4,405 |
$200K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,518 |
2,436 |
$149K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,274 |
2,249 |
$131K |
| 59025 |
Fetal non-stress test |
1,963 |
868 |
$49K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
419 |
419 |
$37K |
| 59426 |
|
12 |
12 |
$11K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
129 |
129 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
300 |
294 |
$7K |
| 81025 |
|
835 |
822 |
$6K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
70 |
70 |
$5K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
128 |
126 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
572 |
566 |
$5K |
| 90686 |
|
250 |
250 |
$4K |
| 90715 |
|
148 |
148 |
$4K |
| 92567 |
|
353 |
349 |
$3K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
55 |
55 |
$2K |
| 81002 |
|
302 |
300 |
$729.21 |
| 92557 |
|
24 |
24 |
$448.56 |
| 99442 |
|
31 |
29 |
$437.78 |
| 69210 |
|
13 |
13 |
$311.45 |
| 99441 |
|
27 |
26 |
$208.89 |
| 81003 |
|
111 |
108 |
$166.64 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
12 |
12 |
$89.15 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
50 |
12 |
$0.00 |