| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,213 |
1,803 |
$213K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
265 |
259 |
$39K |
| 80305 |
|
380 |
326 |
$20K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
245 |
222 |
$7K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
17 |
17 |
$3K |
| 93976 |
|
14 |
14 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
39 |
38 |
$3K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
13 |
13 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
69 |
61 |
$1K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
14 |
13 |
$195.11 |
| 36415 |
Collection of venous blood by venipuncture |
27 |
24 |
$79.58 |
| 81002 |
|
14 |
12 |
$27.67 |
| 99000 |
|
503 |
445 |
$0.00 |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
17 |
17 |
$0.00 |