| Code | Description | Claims | Beneficiaries | Total Paid |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
175 |
175 |
$7K |
| 94060 |
|
216 |
216 |
$2K |
| 76881 |
|
157 |
156 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
240 |
240 |
$2K |
| 93880 |
|
214 |
214 |
$715.79 |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
201 |
201 |
$558.92 |
| 93000 |
|
170 |
170 |
$549.77 |
| 93924 |
|
178 |
178 |
$393.38 |
| 93976 |
|
15 |
15 |
$371.70 |
| 93978 |
|
179 |
179 |
$247.59 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
334 |
333 |
$226.22 |
| 93923 |
|
208 |
193 |
$182.31 |
| 94200 |
|
57 |
57 |
$151.15 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
204 |
204 |
$123.07 |
| 94729 |
|
199 |
199 |
$103.07 |
| 94726 |
|
210 |
210 |
$101.01 |
| 76536 |
|
156 |
156 |
$59.14 |
| 36415 |
Collection of venous blood by venipuncture |
25 |
25 |
$8.65 |
| 76857 |
|
30 |
30 |
$0.42 |
| 76800 |
|
49 |
49 |
$0.00 |
| 96116 |
|
76 |
76 |
$0.00 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
42 |
42 |
$0.00 |