| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,208 |
1,907 |
$56K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,039 |
978 |
$41K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
136 |
130 |
$4K |
| 99199 |
Unlisted special service, procedure or report |
282 |
282 |
$2K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
14 |
13 |
$695.52 |
| 90688 |
|
135 |
112 |
$618.80 |
| 93000 |
|
20 |
18 |
$95.04 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
25 |
14 |
$31.68 |
| 90662 |
|
13 |
13 |
$4.03 |
| G0008 |
Administration of influenza virus vaccine |
116 |
114 |
$1.98 |
| 90686 |
|
110 |
77 |
$0.00 |