| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,669 |
3,441 |
$175K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,787 |
2,569 |
$87K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
420 |
420 |
$37K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
386 |
373 |
$30K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
284 |
283 |
$24K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
194 |
194 |
$23K |
| 90686 |
|
751 |
744 |
$12K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
542 |
467 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
117 |
110 |
$9K |
| 76830 |
Ultrasound, transvaginal |
79 |
79 |
$6K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
44 |
43 |
$5K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
645 |
621 |
$4K |
| 90670 |
|
281 |
281 |
$3K |
| 90715 |
|
109 |
108 |
$3K |
| G0008 |
Administration of influenza virus vaccine |
282 |
267 |
$2K |
| 90723 |
|
169 |
169 |
$2K |
| 90647 |
|
167 |
167 |
$2K |
| 90680 |
|
133 |
133 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
78 |
63 |
$889.78 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$873.46 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
26 |
24 |
$815.75 |
| 90633 |
|
80 |
80 |
$769.10 |
| 59025 |
Fetal non-stress test |
36 |
24 |
$652.55 |
| 90651 |
|
28 |
28 |
$481.82 |
| 36415 |
Collection of venous blood by venipuncture |
242 |
225 |
$387.90 |
| 90734 |
|
15 |
15 |
$148.40 |
| 92551 |
|
407 |
406 |
$143.87 |
| 85610 |
|
17 |
12 |
$59.93 |
| 99173 |
|
299 |
298 |
$59.91 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
46 |
44 |
$34.95 |
| 83655 |
|
304 |
304 |
$19.75 |
| 96127 |
|
78 |
78 |
$15.44 |
| 3078F |
|
28 |
26 |
$10.00 |
| 3008F |
|
19 |
17 |
$0.00 |
| 3074F |
|
14 |
13 |
$0.00 |