| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
592 |
591 |
$219K |
| 99443 |
|
1,534 |
1,312 |
$58K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,298 |
1,951 |
$57K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
376 |
375 |
$51K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,418 |
797 |
$30K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,069 |
1,066 |
$27K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
900 |
746 |
$14K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
772 |
772 |
$10K |
| 99215 |
Prolong outpt/office vis |
238 |
206 |
$7K |
| 93880 |
|
85 |
85 |
$2K |
| 93923 |
|
57 |
57 |
$2K |
| 76881 |
|
124 |
85 |
$951.93 |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
24 |
24 |
$846.78 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
20 |
20 |
$600.00 |
| 93980 |
|
18 |
18 |
$502.11 |
| 93000 |
|
39 |
38 |
$290.25 |
| 93925 |
|
57 |
57 |
$206.60 |
| 76775 |
|
16 |
15 |
$120.78 |
| 93970 |
|
18 |
18 |
$120.73 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
12 |
12 |
$74.88 |
| 90674 |
|
26 |
26 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
27 |
27 |
$0.00 |
| 93312 |
|
24 |
24 |
$0.00 |