| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,296 |
3,341 |
$277K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
564 |
510 |
$51K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
171 |
170 |
$29K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
153 |
153 |
$16K |
| 93000 |
|
572 |
554 |
$8K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
204 |
159 |
$6K |
| 95912 |
|
13 |
12 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,125 |
1,067 |
$2K |
| 94010 |
|
60 |
59 |
$2K |
| 95886 |
|
13 |
12 |
$2K |
| 99406 |
|
106 |
90 |
$1K |
| 76536 |
|
12 |
12 |
$905.08 |
| 94690 |
|
28 |
28 |
$728.91 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
34 |
29 |
$508.16 |
| 82962 |
|
166 |
128 |
$226.17 |
| 90658 |
|
13 |
13 |
$213.48 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
15 |
$208.44 |
| 96160 |
|
34 |
31 |
$91.12 |
| 3080F |
|
140 |
121 |
$0.00 |
| 3079F |
|
98 |
91 |
$0.00 |
| 3074F |
|
192 |
168 |
$0.00 |
| 3008F |
|
20 |
16 |
$0.00 |
| 3078F |
|
103 |
88 |
$0.00 |
| 3077F |
|
200 |
171 |
$0.00 |