| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,656 |
2,202 |
$26K |
| 93000 |
|
1,061 |
1,025 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
40 |
40 |
$597.68 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
12 |
12 |
$148.12 |
| 36415 |
Collection of venous blood by venipuncture |
1,444 |
1,346 |
$93.30 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
12 |
12 |
$4.44 |
| 99000 |
|
56 |
48 |
$2.38 |
| 94729 |
|
12 |
12 |
$0.00 |
| A6413 |
Adhesive bandage, first-aid type, any size, each |
19 |
15 |
$0.00 |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
50 |
41 |
$0.00 |
| 94727 |
|
12 |
12 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
15 |
14 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
25 |
24 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
15 |
14 |
$0.00 |
| A4215 |
Needle, sterile, any size, each |
15 |
14 |
$0.00 |
| 94760 |
|
68 |
53 |
$0.00 |
| 94010 |
|
12 |
12 |
$0.00 |