| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,894 |
1,582 |
$14K |
| 52224 |
|
55 |
54 |
$6K |
| 76872 |
|
503 |
496 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
69 |
69 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
583 |
577 |
$927.33 |
| 51741 |
|
1,521 |
1,343 |
$852.85 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
12 |
$653.22 |
| 51728 |
|
30 |
28 |
$531.28 |
| 51792 |
|
29 |
27 |
$380.05 |
| 51784 |
|
42 |
40 |
$170.29 |
| 51798 |
|
338 |
314 |
$112.24 |
| 81000 |
|
735 |
691 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
313 |
297 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
448 |
447 |
$0.00 |
| 52000 |
|
346 |
346 |
$0.00 |
| 99441 |
|
14 |
14 |
$0.00 |