| Code | Description | Claims | Beneficiaries | Total Paid |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
1,301 |
1,301 |
$117K |
| 93325 |
|
1,309 |
1,309 |
$66K |
| 93320 |
|
1,310 |
1,310 |
$63K |
| 93000 |
|
2,078 |
2,075 |
$39K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
117 |
117 |
$13K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
633 |
615 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
284 |
284 |
$7K |
| 92552 |
|
140 |
140 |
$1K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
13 |
13 |
$888.10 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
53 |
53 |
$799.62 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
18 |
18 |
$748.92 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
81 |
81 |
$600.60 |
| 99173 |
|
155 |
154 |
$419.72 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
36 |
36 |
$383.94 |
| 92551 |
|
226 |
226 |
$76.86 |
| 92081 |
|
220 |
219 |
$30.00 |
| 90686 |
|
58 |
58 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
12 |
12 |
$0.00 |