| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,906 |
2,560 |
$139K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,619 |
1,420 |
$38K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
486 |
449 |
$19K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
168 |
161 |
$9K |
| 93000 |
|
414 |
387 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
39 |
39 |
$3K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
94 |
84 |
$3K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
44 |
40 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
49 |
44 |
$2K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
91 |
83 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
361 |
297 |
$2K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
91 |
83 |
$2K |
| 90832 |
Psychotherapy, 30 minutes with patient |
27 |
14 |
$1K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
12 |
12 |
$898.24 |
| 93018 |
|
24 |
24 |
$306.39 |
| 94060 |
|
12 |
12 |
$118.25 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
13 |
13 |
$62.84 |
| 3078F |
|
408 |
340 |
$0.00 |
| 3077F |
|
68 |
58 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
30 |
27 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
896 |
736 |
$0.00 |
| G9273 |
Blood pressure has a systolic value of < 140 and a diastolic value of < 90 |
727 |
618 |
$0.00 |
| 3074F |
|
344 |
286 |
$0.00 |
| 3079F |
|
45 |
39 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
42 |
40 |
$0.00 |