| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
710 |
584 |
$20K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
269 |
222 |
$15K |
| 99000 |
|
2,875 |
2,452 |
$9K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
238 |
131 |
$8K |
| 76830 |
Ultrasound, transvaginal |
52 |
49 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
75 |
69 |
$3K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
134 |
89 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
20 |
16 |
$1K |
| 87480 |
|
91 |
59 |
$945.56 |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
34 |
27 |
$934.67 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
14 |
$818.18 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
37 |
36 |
$734.02 |
| 87150 |
|
12 |
12 |
$350.90 |
| 36415 |
Collection of venous blood by venipuncture |
2,089 |
1,647 |
$251.98 |
| 84443 |
Thyroid stimulating hormone (TSH) |
15 |
13 |
$146.12 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
13 |
13 |
$96.41 |
| 81001 |
|
13 |
13 |
$34.87 |