| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,868 |
6,683 |
$195K |
| 76770 |
|
4,271 |
4,214 |
$107K |
| 51102 |
|
1,844 |
1,776 |
$73K |
| 52000 |
|
1,278 |
1,271 |
$52K |
| 91122 |
|
450 |
248 |
$48K |
| 99304 |
|
4,023 |
3,986 |
$37K |
| 76775 |
|
1,746 |
1,726 |
$34K |
| J9217 |
Leuprolide acetate (for depot suspension), 7.5 mg |
231 |
191 |
$28K |
| 51784 |
|
663 |
465 |
$19K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
499 |
491 |
$16K |
| 51798 |
|
6,450 |
6,107 |
$12K |
| 76872 |
|
265 |
262 |
$10K |
| 76857 |
|
330 |
322 |
$9K |
| 99307 |
|
2,171 |
2,040 |
$5K |
| 97750 |
|
361 |
183 |
$5K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
84 |
84 |
$4K |
| 97032 |
|
881 |
430 |
$3K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
232 |
222 |
$3K |
| 81002 |
|
4,980 |
4,806 |
$3K |
| 51705 |
|
180 |
170 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
53 |
53 |
$2K |
| 51729 |
|
12 |
12 |
$888.44 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
132 |
115 |
$804.63 |
| 51792 |
|
12 |
12 |
$486.10 |
| 96405 |
|
26 |
26 |
$418.86 |
| 36415 |
Collection of venous blood by venipuncture |
2,911 |
2,812 |
$357.73 |
| 51702 |
|
26 |
26 |
$292.18 |
| 51741 |
|
61 |
59 |
$271.01 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$246.23 |
| 51797 |
|
12 |
12 |
$203.21 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
113 |
110 |
$129.92 |
| G8991 |
Other physical or occupational therapy primary functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting |
14 |
12 |
$0.01 |