| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,457 |
1,133 |
$100K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
1,073 |
829 |
$56K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
337 |
232 |
$33K |
| 76830 |
Ultrasound, transvaginal |
351 |
351 |
$33K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
377 |
376 |
$31K |
| 99457 |
|
332 |
332 |
$13K |
| 99454 |
|
321 |
321 |
$12K |
| 99458 |
|
332 |
332 |
$10K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
103 |
103 |
$10K |
| 99487 |
Ccm add 20min |
130 |
130 |
$9K |
| 69210 |
|
193 |
192 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
68 |
62 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
55 |
52 |
$6K |
| 93970 |
|
61 |
61 |
$5K |
| 99490 |
Ccm add 20min |
88 |
87 |
$5K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
25 |
25 |
$4K |
| 76536 |
|
42 |
42 |
$4K |
| 93000 |
|
212 |
208 |
$2K |
| 94010 |
|
90 |
90 |
$2K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
157 |
132 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$1K |
| 99385 |
|
12 |
12 |
$871.52 |
| 99497 |
|
25 |
25 |
$656.20 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$207.05 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
289 |
231 |
$127.36 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
289 |
231 |
$122.67 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
39 |
39 |
$108.40 |