| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,695 |
2,520 |
$177K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
1,282 |
382 |
$83K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
1,349 |
440 |
$53K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
759 |
724 |
$48K |
| 76830 |
Ultrasound, transvaginal |
349 |
346 |
$36K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
1,435 |
464 |
$28K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
148 |
148 |
$16K |
| 97014 |
|
1,035 |
345 |
$14K |
| 93970 |
|
57 |
57 |
$10K |
| 97161 |
|
172 |
172 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
62 |
62 |
$9K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
82 |
82 |
$9K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
61 |
61 |
$7K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
46 |
46 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
96 |
96 |
$6K |
| 92083 |
|
73 |
71 |
$4K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
15 |
15 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
25 |
25 |
$3K |
| 95911 |
|
14 |
14 |
$2K |
| 92133 |
|
48 |
47 |
$2K |
| 93000 |
|
90 |
90 |
$1K |
| 95886 |
|
12 |
12 |
$1K |
| 92201 |
|
42 |
42 |
$975.04 |
| 11720 |
|
24 |
24 |
$399.64 |
| 36415 |
Collection of venous blood by venipuncture |
77 |
77 |
$37.40 |
| 83986 |
|
12 |
12 |
$23.88 |
| 3015F |
|
49 |
49 |
$0.00 |