| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
56 |
56 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
28 |
28 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
22 |
21 |
$3K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
20 |
19 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
18 |
18 |
$482.30 |
| 92567 |
|
49 |
49 |
$414.05 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
19 |
18 |
$270.01 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
35 |
34 |
$233.24 |
| 80051 |
|
27 |
27 |
$225.41 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
16 |
14 |
$105.77 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
16 |
15 |
$97.72 |
| 82247 |
|
16 |
16 |
$26.39 |
| 82565 |
|
29 |
28 |
$16.16 |
| 84450 |
|
20 |
18 |
$10.05 |
| 82248 |
|
13 |
13 |
$9.35 |
| 84460 |
|
20 |
18 |
$4.68 |
| 84075 |
|
16 |
16 |
$4.68 |
| 82947 |
|
23 |
23 |
$0.00 |
| 84520 |
|
27 |
26 |
$0.00 |
| 83615 |
|
13 |
12 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
36 |
36 |
$0.00 |