| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2019 |
Therapeutic behavioral services, per 15 minutes |
279 |
178 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
109 |
108 |
$3K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
27 |
27 |
$3K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
47 |
45 |
$3K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
20 |
16 |
$2K |
| 76801 |
|
12 |
12 |
$1K |
| T1015 |
Clinic visit/encounter, all-inclusive |
13 |
13 |
$780.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
15 |
$255.36 |
| 36415 |
Collection of venous blood by venipuncture |
25 |
25 |
$12.00 |
| 92567 |
|
16 |
16 |
$10.18 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
123 |
108 |
$0.00 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
49 |
48 |
$0.00 |
| 76641 |
|
54 |
31 |
$0.00 |
| 81001 |
|
42 |
38 |
$0.00 |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
12 |
12 |
$0.00 |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
42 |
41 |
$0.00 |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
163 |
147 |
$0.00 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
23 |
15 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
35 |
34 |
$0.00 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
13 |
13 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
15 |
15 |
$0.00 |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
12 |
12 |
$0.00 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
31 |
31 |
$0.00 |
| 76536 |
|
20 |
20 |
$0.00 |
| 76830 |
Ultrasound, transvaginal |
12 |
12 |
$0.00 |
| 80050 |
General health panel |
18 |
17 |
$0.00 |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
42 |
40 |
$0.00 |
| 71046 |
Radiologic examination, chest; 2 views |
60 |
60 |
$0.00 |
| 80061 |
Lipid panel |
41 |
40 |
$0.00 |
| H1000 |
Prenatal care, at-risk assessment |
41 |
28 |
$0.00 |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
174 |
150 |
$0.00 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
14 |
14 |
$0.00 |
| V2025 |
Deluxe frame |
12 |
12 |
$0.00 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
16 |
16 |
$0.00 |
| H0031 |
Mental health assessment, by non-physician |
15 |
12 |
$0.00 |
| V2020 |
Frames, purchases |
13 |
13 |
$0.00 |
| A0425 |
Ground mileage, per statute mile |
28 |
25 |
$0.00 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
60 |
60 |
$0.00 |
| T1017 |
Targeted case management, each 15 minutes |
246 |
67 |
$0.00 |