| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,615 |
6,114 |
$178K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
501 |
500 |
$43K |
| 92546 |
|
813 |
761 |
$32K |
| 92540 |
|
766 |
762 |
$24K |
| 93924 |
|
392 |
392 |
$19K |
| 95923 |
|
240 |
212 |
$14K |
| 99443 |
|
348 |
344 |
$11K |
| 93922 |
|
392 |
391 |
$8K |
| 94010 |
|
618 |
618 |
$7K |
| 93000 |
|
854 |
849 |
$6K |
| 93701 |
|
483 |
481 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
493 |
482 |
$4K |
| 92538 |
|
738 |
727 |
$4K |
| 92548 |
|
506 |
504 |
$3K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
105 |
105 |
$2K |
| 76536 |
|
154 |
154 |
$1K |
| 94060 |
|
26 |
26 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
700 |
694 |
$965.76 |
| 99442 |
|
218 |
218 |
$522.51 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
38 |
38 |
$415.13 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
56 |
55 |
$329.39 |
| 90688 |
|
36 |
36 |
$302.73 |
| 82962 |
|
793 |
772 |
$273.14 |
| 93880 |
|
56 |
56 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$0.00 |