| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,645 |
5,483 |
$230K |
| 93975 |
|
613 |
593 |
$60K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,403 |
1,349 |
$48K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
644 |
630 |
$27K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
559 |
551 |
$26K |
| 76770 |
|
676 |
664 |
$25K |
| 76872 |
|
338 |
310 |
$14K |
| J9217 |
Leuprolide acetate (for depot suspension), 7.5 mg |
101 |
101 |
$14K |
| 51728 |
|
118 |
117 |
$12K |
| 76870 |
|
93 |
92 |
$4K |
| 52204 |
|
45 |
45 |
$4K |
| 93980 |
|
61 |
61 |
$4K |
| 84403 |
|
342 |
336 |
$3K |
| 84402 |
|
342 |
336 |
$3K |
| 54235 |
|
60 |
60 |
$2K |
| 82670 |
|
229 |
228 |
$2K |
| 96401 |
|
104 |
104 |
$2K |
| 51784 |
|
108 |
107 |
$2K |
| 84153 |
|
211 |
209 |
$1K |
| 82627 |
|
144 |
143 |
$1K |
| 84270 |
|
344 |
338 |
$618.75 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
343 |
341 |
$592.51 |
| 82985 |
|
146 |
144 |
$552.82 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
131 |
130 |
$452.88 |
| 51741 |
|
119 |
118 |
$447.01 |
| 76857 |
|
59 |
59 |
$402.88 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
29 |
29 |
$128.07 |
| 80061 |
Lipid panel |
27 |
26 |
$42.70 |
| 84481 |
|
12 |
12 |
$36.36 |
| 84439 |
|
12 |
12 |
$36.00 |
| 83735 |
|
27 |
26 |
$35.56 |
| 82248 |
|
26 |
25 |
$35.14 |
| 84100 |
|
27 |
26 |
$33.18 |
| 84550 |
|
27 |
26 |
$31.64 |
| 80053 |
Comprehensive metabolic panel |
13 |
12 |
$20.20 |
| 51798 |
|
12 |
12 |
$6.12 |