| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
99 |
99 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
103 |
103 |
$2K |
| 93000 |
|
218 |
218 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
13 |
$557.45 |
| 36415 |
Collection of venous blood by venipuncture |
183 |
183 |
$517.95 |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
13 |
13 |
$408.41 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
29 |
29 |
$102.96 |
| 93922 |
|
58 |
58 |
$98.99 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
38 |
38 |
$17.10 |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
12 |
12 |
$0.00 |
| 94060 |
|
35 |
35 |
$0.00 |
| 93880 |
|
13 |
13 |
$0.00 |