| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
115 |
107 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
130 |
108 |
$5K |
| 92567 |
|
326 |
303 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
139 |
132 |
$3K |
| A9552 |
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries |
14 |
13 |
$2K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
31 |
30 |
$1K |
| 96153 |
|
82 |
51 |
$753.52 |
| 92524 |
|
59 |
42 |
$689.38 |
| 92579 |
|
14 |
14 |
$233.30 |
| 71046 |
Radiologic examination, chest; 2 views |
12 |
12 |
$86.81 |