| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,932 |
3,630 |
$181K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,982 |
2,759 |
$107K |
| 99233 |
Prolong inpt eval add15 m |
534 |
179 |
$32K |
| 99223 |
Prolong inpt eval add15 m |
123 |
116 |
$14K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
209 |
73 |
$7K |
| 71046 |
Radiologic examination, chest; 2 views |
454 |
424 |
$6K |
| 71045 |
Radiologic examination, chest; single view |
651 |
620 |
$5K |
| 94060 |
|
172 |
168 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
207 |
194 |
$3K |
| 94729 |
|
170 |
167 |
$3K |
| 94727 |
|
144 |
142 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,693 |
1,598 |
$2K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
26 |
26 |
$2K |
| 90674 |
|
158 |
155 |
$1K |
| 81003 |
|
1,019 |
959 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
152 |
149 |
$910.16 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
153 |
137 |
$843.45 |
| 90756 |
|
71 |
71 |
$830.30 |
| 80061 |
Lipid panel |
100 |
98 |
$594.35 |
| 76536 |
|
12 |
12 |
$476.50 |
| 99442 |
|
14 |
14 |
$250.90 |
| 85018 |
|
26 |
26 |
$37.31 |
| 3077F |
|
50 |
49 |
$0.00 |
| 3725F |
|
28 |
27 |
$0.00 |
| 3078F |
|
85 |
83 |
$0.00 |
| 3288F |
|
28 |
27 |
$0.00 |
| 3075F |
|
18 |
18 |
$0.00 |
| 3008F |
|
192 |
183 |
$0.00 |
| 3079F |
|
64 |
63 |
$0.00 |
| 3074F |
|
77 |
75 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
69 |
67 |
$0.00 |