| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
5,744 |
5,140 |
$311K |
| 52315 |
|
879 |
879 |
$237K |
| 51700 |
|
2,751 |
1,683 |
$120K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
2,298 |
2,284 |
$110K |
| 76770 |
|
1,588 |
1,588 |
$84K |
| 76140 |
|
5,070 |
4,773 |
$84K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
771 |
769 |
$35K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,574 |
1,394 |
$34K |
| 99205 |
Prolong outpt/office vis |
479 |
479 |
$30K |
| 81000 |
|
9,458 |
8,415 |
$29K |
| 51729 |
|
114 |
114 |
$29K |
| 54200 |
|
475 |
277 |
$18K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
557 |
555 |
$9K |
| 51797 |
|
114 |
114 |
$8K |
| 99233 |
Prolong inpt eval add15 m |
429 |
37 |
$7K |
| 51784 |
|
114 |
114 |
$6K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
456 |
50 |
$5K |
| 51741 |
|
102 |
102 |
$4K |
| 52224 |
|
106 |
106 |
$4K |
| 54450 |
|
306 |
199 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
423 |
387 |
$2K |
| 76870 |
|
56 |
56 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
110 |
110 |
$1K |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
87 |
85 |
$306.66 |
| 51703 |
|
14 |
13 |
$156.61 |
| A4550 |
Surgical trays |
124 |
121 |
$12.00 |
| J3490 |
Unclassified drugs |
81 |
81 |
$10.28 |
| A4450 |
Tape, non-waterproof, per 18 square inches |
15 |
14 |
$1.82 |