| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,484 |
7,470 |
$198K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,862 |
3,582 |
$108K |
| 31231 |
|
941 |
935 |
$39K |
| 92588 |
|
1,295 |
1,289 |
$28K |
| 94060 |
|
1,288 |
1,285 |
$25K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
622 |
621 |
$25K |
| 93970 |
|
441 |
441 |
$24K |
| 93922 |
|
570 |
570 |
$24K |
| 93976 |
|
321 |
321 |
$21K |
| 93880 |
|
366 |
364 |
$16K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
462 |
462 |
$16K |
| 92546 |
|
615 |
614 |
$16K |
| 92540 |
|
615 |
614 |
$15K |
| 95923 |
|
498 |
498 |
$15K |
| 95921 |
|
574 |
574 |
$12K |
| 76770 |
|
381 |
381 |
$11K |
| 93886 |
|
261 |
260 |
$10K |
| 93925 |
|
287 |
287 |
$9K |
| 76536 |
|
365 |
365 |
$9K |
| 92537 |
|
617 |
616 |
$6K |
| 93979 |
|
249 |
249 |
$3K |
| 94690 |
|
90 |
90 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
132 |
128 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
1,474 |
1,439 |
$932.68 |
| 92547 |
|
615 |
614 |
$839.66 |
| 51741 |
|
134 |
69 |
$587.67 |
| 90688 |
|
214 |
214 |
$451.18 |
| 92567 |
|
152 |
151 |
$449.07 |
| 94621 |
|
13 |
13 |
$329.55 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
15 |
15 |
$239.49 |
| G0008 |
Administration of influenza virus vaccine |
203 |
203 |
$87.86 |
| 81000 |
|
280 |
277 |
$52.56 |
| 92548 |
|
315 |
315 |
$0.00 |