| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95816 |
|
904 |
904 |
$270K |
| 93975 |
|
1,060 |
1,060 |
$245K |
| 93925 |
|
1,067 |
1,065 |
$211K |
| 95923 |
|
2,036 |
2,035 |
$206K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
857 |
857 |
$181K |
| 93880 |
|
1,082 |
1,082 |
$178K |
| 95922 |
|
1,978 |
1,978 |
$159K |
| 93970 |
|
973 |
973 |
$155K |
| 93978 |
|
1,129 |
1,128 |
$152K |
| 92546 |
|
1,420 |
1,419 |
$139K |
| 92540 |
|
1,420 |
1,419 |
$121K |
| 95911 |
|
695 |
643 |
$112K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
841 |
841 |
$95K |
| 95912 |
|
450 |
450 |
$91K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
291 |
291 |
$52K |
| 93886 |
|
214 |
214 |
$50K |
| 93923 |
|
352 |
352 |
$50K |
| 93890 |
|
194 |
194 |
$46K |
| 94729 |
|
971 |
971 |
$44K |
| 92537 |
|
1,418 |
1,417 |
$44K |
| 94060 |
|
971 |
971 |
$37K |
| 94727 |
|
972 |
972 |
$33K |
| 76536 |
|
264 |
264 |
$25K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
136 |
135 |
$13K |
| 76775 |
|
109 |
109 |
$11K |
| 94016 |
|
411 |
411 |
$8K |
| 76770 |
|
29 |
29 |
$3K |
| 95886 |
|
36 |
28 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
33 |
33 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
15 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
31 |
31 |
$2K |
| 95921 |
|
13 |
13 |
$695.24 |