| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,251 |
3,044 |
$107K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,374 |
2,171 |
$77K |
| 99215 |
Prolong outpt/office vis |
764 |
741 |
$59K |
| 96132 |
|
700 |
699 |
$12K |
| 96138 |
|
709 |
708 |
$5K |
| 94200 |
|
407 |
404 |
$3K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
12 |
12 |
$2K |
| 94618 |
|
420 |
417 |
$2K |
| 94729 |
|
326 |
323 |
$1K |
| 94727 |
|
323 |
323 |
$1K |
| 94375 |
|
312 |
309 |
$749.32 |
| 71046 |
Radiologic examination, chest; 2 views |
82 |
80 |
$475.98 |
| 93000 |
|
51 |
49 |
$471.32 |
| 93975 |
|
13 |
13 |
$438.07 |
| 94750 |
|
41 |
37 |
$355.88 |
| 99442 |
|
649 |
638 |
$277.52 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
111 |
110 |
$157.50 |
| 76872 |
|
53 |
53 |
$133.94 |
| 3008F |
|
3,280 |
3,024 |
$117.92 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
810 |
805 |
$107.96 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
14 |
14 |
$82.37 |
| 94400 |
|
27 |
25 |
$79.05 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
137 |
137 |
$68.21 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
15 |
$57.20 |
| 3074F |
|
1,672 |
1,570 |
$40.52 |
| 3075F |
|
191 |
185 |
$37.50 |
| 3077F |
|
402 |
377 |
$33.70 |
| 1170F |
|
72 |
70 |
$28.70 |
| 3079F |
|
1,035 |
996 |
$10.00 |
| 1125F |
|
67 |
66 |
$1.50 |
| 3078F |
|
1,015 |
971 |
$0.02 |
| 1159F |
|
511 |
481 |
$0.00 |
| 1160F |
|
1,262 |
1,213 |
$0.00 |
| 3725F |
|
382 |
382 |
$0.00 |
| 3015F |
|
29 |
28 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
12 |
12 |
$0.00 |
| 3080F |
|
337 |
323 |
$0.00 |
| 3044F |
|
591 |
587 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
95 |
95 |
$0.00 |
| 99385 |
|
12 |
12 |
$0.00 |