| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,756 |
1,375 |
$23K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
807 |
647 |
$15K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
430 |
392 |
$9K |
| 99205 |
Prolong outpt/office vis |
170 |
152 |
$7K |
| 99215 |
Prolong outpt/office vis |
125 |
103 |
$5K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
751 |
627 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
102 |
102 |
$612.00 |
| 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) |
296 |
253 |
$129.99 |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
26 |
13 |
$122.80 |
| 36415 |
Collection of venous blood by venipuncture |
95 |
61 |
$15.14 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
15 |
12 |
$4.25 |
| 3074F |
|
1,177 |
1,019 |
$4.00 |
| 3078F |
|
820 |
728 |
$4.00 |
| 1160F |
|
2,090 |
1,824 |
$2.00 |
| 3079F |
|
560 |
468 |
$1.00 |
| 1126F |
|
119 |
119 |
$0.00 |
| 3008F |
|
1,906 |
1,680 |
$0.00 |
| 3080F |
|
67 |
52 |
$0.00 |
| 3075F |
|
43 |
42 |
$0.00 |
| 99024 |
|
30 |
26 |
$0.00 |
| 90686 |
|
12 |
12 |
$0.00 |
| 3288F |
|
344 |
298 |
$0.00 |
| 3077F |
|
143 |
125 |
$0.00 |
| 3725F |
|
15 |
14 |
$0.00 |