| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99223 |
Prolong inpt eval add15 m |
606 |
596 |
$102K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,631 |
1,577 |
$23K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,196 |
1,169 |
$16K |
| 57410 |
|
540 |
531 |
$12K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
619 |
619 |
$12K |
| 76830 |
Ultrasound, transvaginal |
600 |
600 |
$12K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
524 |
515 |
$6K |
| 59514 |
|
24 |
24 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
164 |
163 |
$4K |
| 58561 |
|
13 |
13 |
$2K |
| 58558 |
|
58 |
55 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
229 |
178 |
$2K |
| 88141 |
|
481 |
477 |
$505.44 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$395.20 |
| 81025 |
|
365 |
360 |
$268.80 |
| 58662 |
|
13 |
12 |
$152.83 |
| A4550 |
Surgical trays |
117 |
113 |
$30.00 |
| 99000 |
|
25 |
25 |
$3.63 |
| 99459 |
|
28 |
28 |
$0.00 |