| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,768 |
1,719 |
$57K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,981 |
1,935 |
$38K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
173 |
173 |
$20K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
380 |
379 |
$15K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
117 |
116 |
$5K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
68 |
68 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
42 |
42 |
$2K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
605 |
605 |
$1K |
| 76536 |
|
51 |
51 |
$241.24 |
| 90694 |
|
28 |
28 |
$70.25 |
| G0008 |
Administration of influenza virus vaccine |
124 |
124 |
$30.81 |
| 90674 |
|
37 |
37 |
$4.97 |
| 36415 |
Collection of venous blood by venipuncture |
111 |
111 |
$0.69 |
| 90688 |
|
45 |
45 |
$0.00 |