| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,127 |
996 |
$45K |
| 59426 |
|
228 |
121 |
$21K |
| 59410 |
|
15 |
14 |
$12K |
| 59425 |
|
130 |
111 |
$12K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
105 |
103 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
370 |
334 |
$9K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
53 |
46 |
$5K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
33 |
31 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
32 |
31 |
$3K |
| 87480 |
|
75 |
71 |
$2K |
| 87510 |
|
75 |
71 |
$2K |
| 87660 |
|
75 |
71 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
99 |
96 |
$920.64 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
44 |
41 |
$479.60 |
| 84443 |
Thyroid stimulating hormone (TSH) |
18 |
17 |
$341.36 |
| 86762 |
|
16 |
15 |
$266.55 |
| 86694 |
|
16 |
15 |
$266.55 |
| 82950 |
|
35 |
32 |
$186.14 |
| 36415 |
Collection of venous blood by venipuncture |
16 |
16 |
$43.20 |