| Code | Description | Claims | Beneficiaries | Total Paid |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
94 |
93 |
$17K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,519 |
2,492 |
$16K |
| 17108 |
|
79 |
79 |
$10K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
206 |
205 |
$8K |
| 93880 |
|
177 |
177 |
$4K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
34 |
34 |
$1K |
| 93000 |
|
148 |
148 |
$534.07 |
| 99348 |
|
141 |
136 |
$478.50 |
| 93925 |
|
172 |
172 |
$446.42 |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
91 |
91 |
$381.94 |
| 64615 |
|
84 |
83 |
$273.04 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
33 |
33 |
$81.55 |