| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,168 |
7,679 |
$156K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
2,888 |
2,773 |
$31K |
| 76857 |
|
3,768 |
3,632 |
$27K |
| 99233 |
Prolong inpt eval add15 m |
1,893 |
510 |
$26K |
| 93976 |
|
1,211 |
1,196 |
$22K |
| 99223 |
Prolong inpt eval add15 m |
506 |
496 |
$22K |
| 76775 |
|
1,553 |
1,515 |
$19K |
| 51798 |
|
1,768 |
1,658 |
$10K |
| 86294 |
|
3,540 |
3,173 |
$9K |
| 54450 |
|
461 |
460 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,718 |
1,371 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
217 |
216 |
$5K |
| J9217 |
Leuprolide acetate (for depot suspension), 7.5 mg |
51 |
50 |
$5K |
| 81001 |
|
7,818 |
6,931 |
$4K |
| 84403 |
|
559 |
555 |
$3K |
| 82570 |
|
3,336 |
2,898 |
$3K |
| 51700 |
|
98 |
40 |
$3K |
| 82044 |
|
3,020 |
2,742 |
$2K |
| J1071 |
Injection, testosterone cypionate, 1 mg |
148 |
125 |
$1K |
| 84153 |
|
640 |
634 |
$1K |
| 76870 |
|
408 |
407 |
$1K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
40 |
12 |
$693.58 |
| 80047 |
|
513 |
508 |
$617.68 |
| 36415 |
Collection of venous blood by venipuncture |
399 |
397 |
$270.54 |
| 51741 |
|
79 |
77 |
$267.48 |
| 85014 |
|
560 |
556 |
$106.81 |
| J3260 |
Injection, tobramycin sulfate, up to 80 mg |
70 |
64 |
$35.14 |
| J1580 |
Injection, garamycin, gentamicin, up to 80 mg |
22 |
22 |
$30.41 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
14 |
12 |
$5.60 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25 |
25 |
$1.11 |
| 82803 |
|
15 |
15 |
$0.00 |
| 99407 |
|
12 |
12 |
$0.00 |