| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
146 |
135 |
$15K |
| 99195 |
|
130 |
127 |
$13K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
141 |
133 |
$10K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
33 |
33 |
$6K |
| 95943 |
|
28 |
28 |
$4K |
| 95923 |
|
28 |
28 |
$3K |
| 93922 |
|
28 |
28 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
36 |
34 |
$665.72 |
| 90686 |
|
13 |
13 |
$247.52 |
| 3074F |
|
72 |
64 |
$177.50 |
| 93000 |
|
31 |
30 |
$163.90 |
| 3078F |
|
60 |
55 |
$155.00 |
| 3079F |
|
13 |
12 |
$32.50 |
| 1000F |
|
74 |
68 |
$0.00 |
| 3008F |
|
118 |
102 |
$0.00 |
| 1036F |
|
64 |
61 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
81 |
73 |
$0.00 |
| 3725F |
|
78 |
74 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
85 |
75 |
$0.00 |