| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 93978 |
|
25 |
25 |
$638.10 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
68 |
54 |
$360.93 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
14 |
14 |
$154.97 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
42 |
36 |
$61.67 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
42 |
36 |
$33.47 |
| 92547 |
|
18 |
14 |
$0.17 |
| 92537 |
|
35 |
14 |
$0.02 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
12 |
12 |
$0.00 |
| 92546 |
|
35 |
14 |
$0.00 |
| 81003 |
|
26 |
24 |
$0.00 |
| 92540 |
|
35 |
14 |
$0.00 |
| 92544 |
|
18 |
14 |
$0.00 |
| 94760 |
|
55 |
40 |
$0.00 |
| 92541 |
|
18 |
14 |
$0.00 |
| 92545 |
|
18 |
14 |
$0.00 |
| 82962 |
|
46 |
38 |
$0.00 |
| 92542 |
|
18 |
14 |
$0.00 |