| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
1,806 |
1,558 |
$146K |
| 76536 |
|
1,012 |
882 |
$72K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
891 |
717 |
$68K |
| 72100 |
|
1,756 |
1,477 |
$46K |
| 97803 |
|
1,341 |
1,238 |
$43K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,271 |
2,219 |
$41K |
| 97802 |
|
752 |
700 |
$40K |
| 76641 |
|
638 |
536 |
$36K |
| 72040 |
|
1,143 |
918 |
$30K |
| 71046 |
Radiologic examination, chest; 2 views |
1,319 |
1,128 |
$30K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
64,700 |
53,154 |
$29K |
| 76830 |
Ultrasound, transvaginal |
344 |
303 |
$24K |
| 72070 |
|
602 |
460 |
$15K |
| 76770 |
|
164 |
140 |
$10K |
| 93970 |
|
24 |
13 |
$5K |
| 73560 |
|
216 |
196 |
$4K |
| 73030 |
|
145 |
103 |
$4K |
| 74018 |
|
229 |
197 |
$3K |
| 73620 |
|
153 |
104 |
$2K |
| 73120 |
|
97 |
66 |
$2K |
| 73600 |
|
13 |
12 |
$294.06 |
| 71045 |
Radiologic examination, chest; single view |
15 |
15 |
$204.90 |
| 99397 |
|
77 |
44 |
$0.00 |
| 3078F |
|
6,897 |
4,571 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,659 |
929 |
$0.00 |
| 1160F |
|
1,320 |
755 |
$0.00 |
| 3050F |
|
305 |
172 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,357 |
1,329 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
920 |
643 |
$0.00 |
| 3077F |
|
1,231 |
799 |
$0.00 |
| 99382 |
|
26 |
17 |
$0.00 |
| 1159F |
|
2,739 |
1,641 |
$0.00 |
| 99408 |
|
1,538 |
1,127 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,850 |
969 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,705 |
1,201 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,676 |
1,201 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
822 |
558 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
104 |
72 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
297 |
162 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
128 |
127 |
$0.00 |
| 99173 |
|
1,373 |
788 |
$0.00 |
| 80061 |
Lipid panel |
41 |
41 |
$0.00 |
| 99442 |
|
31 |
31 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
12 |
12 |
$0.00 |
| 96160 |
|
48 |
48 |
$0.00 |
| 3079F |
|
7,025 |
4,669 |
$0.00 |
| 3044F |
|
2,030 |
1,306 |
$0.00 |
| 3048F |
|
1,069 |
669 |
$0.00 |
| 3008F |
|
8,068 |
4,916 |
$0.00 |
| 1170F |
|
5,235 |
3,320 |
$0.00 |
| 3074F |
|
11,226 |
7,400 |
$0.00 |
| 99385 |
|
509 |
317 |
$0.00 |
| 3080F |
|
375 |
264 |
$0.00 |
| 3075F |
|
2,240 |
1,502 |
$0.00 |
| 96127 |
|
2,127 |
1,186 |
$0.00 |
| 99386 |
|
141 |
120 |
$0.00 |
| 3014F |
|
216 |
114 |
$0.00 |
| 99383 |
|
284 |
264 |
$0.00 |
| 3061F |
|
542 |
326 |
$0.00 |
| 3017F |
|
370 |
229 |
$0.00 |
| 92551 |
|
1,388 |
809 |
$0.00 |
| 99384 |
|
323 |
292 |
$0.00 |
| 93000 |
|
156 |
123 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
4,020 |
2,659 |
$0.00 |
| 3049F |
|
437 |
262 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,195 |
2,047 |
$0.00 |
| 99443 |
|
34 |
33 |
$0.00 |
| 99441 |
|
354 |
268 |
$0.00 |
| 86580 |
|
57 |
57 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
275 |
156 |
$0.00 |
| 96161 |
|
51 |
28 |
$0.00 |
| 99174 |
|
13 |
13 |
$0.00 |
| 97804 |
|
23 |
23 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
29 |
29 |
$0.00 |