| Code | Description | Claims | Beneficiaries | Total Paid |
| 59425 |
|
4,655 |
2,882 |
$268K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,330 |
2,892 |
$103K |
| Z1034 |
|
1,403 |
960 |
$77K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
648 |
646 |
$38K |
| 99215 |
Prolong outpt/office vis |
220 |
220 |
$26K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
145 |
145 |
$11K |
| Z1032 |
|
85 |
85 |
$11K |
| 99000 |
|
2,749 |
2,515 |
$9K |
| 88141 |
|
123 |
83 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
332 |
307 |
$6K |
| 88150 |
|
541 |
540 |
$6K |
| 81025 |
|
1,609 |
1,568 |
$5K |
| 99442 |
|
111 |
103 |
$5K |
| 59430 |
|
52 |
52 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
51 |
49 |
$2K |
| 81002 |
|
886 |
622 |
$2K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
40 |
39 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
14 |
14 |
$872.48 |
| 76801 |
|
14 |
14 |
$626.02 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
52 |
52 |
$550.79 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
72 |
72 |
$488.94 |
| 82105 |
|
13 |
13 |
$154.83 |
| 82951 |
|
12 |
12 |
$134.25 |
| 81000 |
|
53 |
53 |
$132.66 |