| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,144 |
2,942 |
$140K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,495 |
2,316 |
$88K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,118 |
971 |
$74K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
444 |
438 |
$58K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
1,621 |
1,479 |
$46K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
550 |
540 |
$44K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
229 |
223 |
$22K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
698 |
671 |
$20K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
111 |
109 |
$18K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
195 |
189 |
$15K |
| 59025 |
Fetal non-stress test |
650 |
491 |
$13K |
| 31231 |
|
105 |
103 |
$13K |
| 43775 |
|
14 |
14 |
$12K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
136 |
98 |
$9K |
| 62370 |
|
152 |
139 |
$5K |
| 11720 |
|
740 |
694 |
$5K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
25 |
25 |
$4K |
| 93971 |
|
353 |
326 |
$4K |
| 20611 |
|
98 |
79 |
$4K |
| 76801 |
|
49 |
48 |
$4K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
15 |
15 |
$3K |
| 76813 |
|
34 |
33 |
$3K |
| 93970 |
|
89 |
82 |
$2K |
| 73630 |
|
43 |
36 |
$438.00 |
| 11721 |
|
34 |
33 |
$320.56 |
| 11055 |
|
13 |
13 |
$226.43 |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
17 |
12 |
$182.04 |
| 36415 |
Collection of venous blood by venipuncture |
54 |
51 |
$143.80 |
| 93000 |
|
13 |
12 |
$141.36 |
| 93016 |
|
20 |
14 |
$93.63 |
| 93018 |
|
20 |
14 |
$71.22 |
| 93922 |
|
18 |
16 |
$61.17 |
| 96040 |
|
27 |
27 |
$0.00 |