| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76857 |
|
9,700 |
9,249 |
$391K |
| 54150 |
|
2,191 |
2,006 |
$325K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,107 |
6,790 |
$317K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
4,389 |
4,210 |
$287K |
| 99243 |
|
3,078 |
2,849 |
$261K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,367 |
1,311 |
$109K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,102 |
1,060 |
$74K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
345 |
330 |
$39K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
132 |
129 |
$17K |
| 81003 |
|
7,188 |
6,825 |
$13K |
| 54161 |
|
79 |
77 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
225 |
217 |
$7K |
| 76775 |
|
42 |
40 |
$2K |
| S0020 |
Injection, bupivicaine hydrochloride, 30 ml |
235 |
221 |
$441.71 |
| J3490 |
Unclassified drugs |
83 |
76 |
$27.60 |
| A9150 |
Non-prescription drugs |
580 |
534 |
$20.40 |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
186 |
178 |
$1.17 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
375 |
349 |
$0.07 |
| C9290 |
Injection, bupivacaine liposome, 1 mg |
27 |
15 |
$0.00 |