| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,956 |
1,671 |
$47K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,515 |
1,324 |
$43K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
375 |
342 |
$23K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
504 |
462 |
$20K |
| 59510 |
|
19 |
14 |
$19K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
12 |
12 |
$16K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
321 |
204 |
$13K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
138 |
117 |
$9K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
69 |
64 |
$8K |
| 52000 |
|
103 |
91 |
$6K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
126 |
100 |
$6K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
86 |
79 |
$6K |
| 52332 |
|
26 |
24 |
$5K |
| 1159F |
|
2,664 |
2,336 |
$3K |
| 1160F |
|
2,670 |
2,342 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
43 |
39 |
$3K |
| 3008F |
|
2,422 |
2,126 |
$3K |
| 51798 |
|
434 |
365 |
$3K |
| 20610 |
|
102 |
77 |
$3K |
| 31231 |
|
35 |
31 |
$2K |
| 99243 |
|
27 |
27 |
$2K |
| 51729 |
|
16 |
13 |
$2K |
| 76830 |
Ultrasound, transvaginal |
33 |
29 |
$2K |
| 95115 |
|
342 |
110 |
$2K |
| 92567 |
|
218 |
204 |
$1K |
| 51797 |
|
16 |
13 |
$1K |
| 92587 |
|
133 |
125 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
517 |
483 |
$819.04 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
104 |
87 |
$712.18 |
| 51784 |
|
16 |
13 |
$630.85 |
| 43235 |
|
13 |
12 |
$465.07 |
| 0500F |
|
118 |
95 |
$460.00 |
| 81003 |
|
434 |
386 |
$420.59 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
29 |
25 |
$419.63 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
50 |
41 |
$374.55 |
| 51741 |
|
16 |
13 |
$265.44 |
| 3045F |
|
201 |
187 |
$249.89 |
| 92552 |
|
28 |
27 |
$193.18 |
| 3046F |
|
138 |
131 |
$184.79 |
| 92556 |
|
16 |
16 |
$124.13 |
| 99215 |
Prolong outpt/office vis |
16 |
13 |
$109.33 |
| 0503F |
|
40 |
39 |
$80.00 |
| 36415 |
Collection of venous blood by venipuncture |
66 |
61 |
$74.13 |
| 3044F |
|
111 |
100 |
$61.78 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
16 |
14 |
$46.20 |
| 93000 |
|
17 |
12 |
$40.15 |
| 1170F |
|
17 |
13 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
17 |
12 |
$0.00 |