| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
207 |
151 |
$23K |
| 0502F |
|
459 |
339 |
$22K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
279 |
244 |
$15K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
57 |
48 |
$6K |
| 99233 |
Prolong inpt eval add15 m |
146 |
117 |
$4K |
| 76830 |
Ultrasound, transvaginal |
50 |
50 |
$3K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
106 |
97 |
$3K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
15 |
14 |
$862.78 |
| 81002 |
|
223 |
183 |
$509.60 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
19 |
16 |
$474.40 |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
14 |
14 |
$372.82 |
| 81025 |
|
56 |
52 |
$277.96 |