| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,709 |
3,973 |
$138K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,044 |
851 |
$15K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
151 |
133 |
$10K |
| 71046 |
Radiologic examination, chest; 2 views |
292 |
290 |
$7K |
| 82962 |
|
3,284 |
2,562 |
$6K |
| 93000 |
|
140 |
135 |
$3K |
| 77080 |
|
55 |
39 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
33 |
26 |
$2K |
| 81002 |
|
681 |
670 |
$1K |
| 99000 |
|
133 |
130 |
$189.08 |
| 3044F |
|
36 |
34 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
773 |
755 |
$0.00 |
| 3079F |
|
13 |
13 |
$0.00 |
| 3074F |
|
15 |
13 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
111 |
111 |
$0.00 |
| 99442 |
|
51 |
50 |
$0.00 |
| 3078F |
|
12 |
12 |
$0.00 |