| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,535 |
1,301 |
$68K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
759 |
705 |
$56K |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
256 |
251 |
$14K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
269 |
265 |
$13K |
| 93000 |
|
639 |
621 |
$11K |
| 93325 |
|
408 |
398 |
$10K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
764 |
715 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
92 |
66 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
132 |
131 |
$6K |
| 93320 |
|
237 |
234 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
53 |
48 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
202 |
166 |
$3K |
| 96127 |
|
189 |
146 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
35 |
27 |
$3K |
| 99215 |
Prolong outpt/office vis |
30 |
30 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$979.08 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
30 |
12 |
$827.60 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
33 |
18 |
$406.90 |
| 93321 |
|
24 |
24 |
$377.46 |
| 90686 |
|
44 |
43 |
$302.32 |
| 92551 |
|
13 |
12 |
$167.20 |
| 90723 |
|
12 |
12 |
$80.71 |
| 99173 |
|
12 |
12 |
$77.99 |
| 90670 |
|
13 |
13 |
$64.00 |