| Code | Description | Claims | Beneficiaries | Total Paid |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
311 |
311 |
$20K |
| 93976 |
|
220 |
220 |
$8K |
| 94060 |
|
399 |
399 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
175 |
175 |
$4K |
| 93000 |
|
561 |
561 |
$3K |
| 93924 |
|
165 |
165 |
$2K |
| 93978 |
|
142 |
142 |
$2K |
| 93923 |
|
139 |
139 |
$2K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
96 |
96 |
$2K |
| 94726 |
|
321 |
321 |
$2K |
| 94729 |
|
309 |
309 |
$2K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
141 |
141 |
$1K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
184 |
184 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
175 |
175 |
$1K |
| 94200 |
|
215 |
215 |
$1K |
| 76536 |
|
28 |
28 |
$336.95 |
| 93970 |
|
12 |
12 |
$254.00 |
| 96116 |
|
31 |
31 |
$232.71 |
| 94070 |
|
26 |
26 |
$166.15 |
| 76872 |
|
40 |
40 |
$133.94 |
| 36415 |
Collection of venous blood by venipuncture |
62 |
62 |
$52.92 |
| 93925 |
|
13 |
13 |
$0.00 |