| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
225 |
219 |
$27K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
297 |
289 |
$25K |
| 99443 |
|
103 |
101 |
$9K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
92 |
78 |
$7K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
62 |
60 |
$4K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
75 |
54 |
$3K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
14 |
14 |
$2K |
| 99173 |
|
12 |
12 |
$165.00 |
| 92551 |
|
12 |
12 |
$165.00 |