| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,865 |
4,863 |
$258K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,619 |
5,517 |
$178K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,574 |
1,323 |
$104K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,828 |
1,431 |
$42K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
382 |
296 |
$11K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
139 |
122 |
$10K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
168 |
153 |
$9K |
| 20610 |
|
261 |
170 |
$7K |
| 99385 |
|
92 |
92 |
$7K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
126 |
104 |
$6K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
70 |
34 |
$4K |
| 51798 |
|
621 |
518 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
75 |
69 |
$4K |
| 90756 |
|
190 |
178 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
227 |
218 |
$3K |
| 76830 |
Ultrasound, transvaginal |
39 |
37 |
$3K |
| 99201 |
|
125 |
99 |
$3K |
| 51701 |
|
108 |
85 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
115 |
84 |
$1K |
| 90715 |
|
33 |
32 |
$1K |
| 81001 |
|
819 |
643 |
$963.41 |
| 84153 |
|
160 |
155 |
$931.47 |
| 81000 |
|
521 |
447 |
$920.93 |
| 82962 |
|
290 |
209 |
$585.25 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
71 |
51 |
$551.46 |
| 36415 |
Collection of venous blood by venipuncture |
540 |
513 |
$358.07 |
| 81003 |
|
356 |
309 |
$327.04 |
| 93000 |
|
14 |
12 |
$164.64 |
| 81025 |
|
13 |
12 |
$69.41 |
| J1071 |
Injection, testosterone cypionate, 1 mg |
27 |
12 |
$11.58 |