| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,020 |
592 |
$8K |
| 95872 |
|
262 |
101 |
$6K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
94 |
54 |
$2K |
| 93923 |
|
28 |
15 |
$2K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
75 |
17 |
$1K |
| 76770 |
|
44 |
28 |
$641.97 |
| 95912 |
|
25 |
13 |
$488.46 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
46 |
31 |
$417.36 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
89 |
55 |
$287.54 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
61 |
41 |
$251.62 |
| 76536 |
|
23 |
14 |
$219.99 |
| 94618 |
|
25 |
22 |
$109.05 |
| 93325 |
|
24 |
16 |
$15.95 |
| 93320 |
|
24 |
16 |
$0.00 |
| 93922 |
|
17 |
15 |
$0.00 |