| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,037 |
2,583 |
$198K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
624 |
570 |
$96K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
137 |
120 |
$16K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
76 |
72 |
$7K |
| 76775 |
|
67 |
66 |
$4K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
31 |
29 |
$2K |
| 81003 |
|
591 |
525 |
$1K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
35 |
13 |
$-52.77 |