| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,173 |
1,172 |
$131K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
456 |
456 |
$108K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
101 |
101 |
$19K |
| A4267 |
Contraceptive supply, condom, male, each |
1,320 |
1,320 |
$15K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
225 |
225 |
$10K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
402 |
402 |
$5K |
| 93886 |
|
222 |
222 |
$3K |
| 93000 |
|
519 |
516 |
$3K |
| 99000 |
|
400 |
400 |
$1K |
| 94060 |
|
505 |
504 |
$1K |
| 93880 |
|
221 |
221 |
$1K |
| 76881 |
|
56 |
28 |
$1K |
| 93970 |
|
12 |
12 |
$231.20 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
44 |
44 |
$100.18 |
| 36415 |
Collection of venous blood by venipuncture |
178 |
178 |
$3.59 |
| 93925 |
|
25 |
25 |
$0.00 |
| 93975 |
|
55 |
55 |
$0.00 |