| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,702 |
4,523 |
$205K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,540 |
3,250 |
$120K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
903 |
868 |
$70K |
| 93880 |
|
521 |
505 |
$48K |
| 76775 |
|
797 |
778 |
$46K |
| 76536 |
|
494 |
480 |
$27K |
| 95924 |
|
199 |
194 |
$19K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
124 |
113 |
$11K |
| 0011A |
|
167 |
166 |
$7K |
| 0012A |
|
161 |
160 |
$7K |
| 93922 |
|
151 |
146 |
$5K |
| G0008 |
Administration of influenza virus vaccine |
190 |
187 |
$1K |
| 0013A |
|
21 |
21 |
$902.00 |
| 90688 |
|
54 |
54 |
$584.86 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
19 |
19 |
$419.00 |
| 90715 |
|
12 |
12 |
$161.90 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
93 |
90 |
$146.81 |