| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,225 |
4,519 |
$219K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,503 |
2,992 |
$113K |
| 99199 |
Unlisted special service, procedure or report |
13,258 |
12,963 |
$43K |
| 93923 |
|
1,433 |
699 |
$33K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
297 |
265 |
$13K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
229 |
217 |
$12K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
41 |
40 |
$8K |
| 99215 |
Prolong outpt/office vis |
163 |
137 |
$6K |
| 76536 |
|
187 |
152 |
$5K |
| 95924 |
|
504 |
487 |
$5K |
| 95923 |
|
590 |
565 |
$4K |
| 80305 |
|
449 |
409 |
$4K |
| 99406 |
|
563 |
475 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
88 |
50 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
60 |
37 |
$3K |
| 81002 |
|
1,640 |
1,477 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
175 |
136 |
$1K |
| 94375 |
|
159 |
106 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
93 |
91 |
$1K |
| 94664 |
|
161 |
156 |
$867.48 |
| 93000 |
|
111 |
89 |
$523.22 |
| 93880 |
|
78 |
76 |
$430.80 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
113 |
66 |
$322.81 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
12 |
$196.30 |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
294 |
287 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
25 |
25 |
$0.00 |
| 99497 |
|
30 |
29 |
$0.00 |
| 3023F |
|
63 |
40 |
$0.00 |
| 90674 |
|
201 |
158 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
36 |
36 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
51 |
44 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
14 |
14 |
$0.00 |