| Code | Description | Claims | Beneficiaries | Total Paid |
| 99215 |
Prolong outpt/office vis |
1,063 |
959 |
$33K |
| 99454 |
|
1,479 |
1,472 |
$33K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
1,633 |
1,566 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
458 |
381 |
$11K |
| 99457 |
|
1,435 |
1,433 |
$8K |
| 93042 |
|
1,599 |
1,531 |
$6K |
| 99458 |
|
680 |
680 |
$3K |
| 0012A |
|
17 |
14 |
$470.00 |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
12 |
12 |
$466.60 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
48 |
46 |
$68.79 |
| 36415 |
Collection of venous blood by venipuncture |
52 |
49 |
$6.00 |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
17 |
17 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
17 |
17 |
$0.00 |