| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
207 |
182 |
$8K |
| H0033 |
Oral medication administration, direct observation |
109 |
47 |
$7K |
| 90834 |
Psychotherapy, 45 minutes with patient |
113 |
51 |
$6K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
51 |
45 |
$4K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
32 |
26 |
$2K |
| 81003 |
|
1,450 |
1,154 |
$2K |
| 57454 |
|
15 |
15 |
$1K |
| 81025 |
|
337 |
296 |
$1K |
| 87210 |
|
416 |
350 |
$976.24 |
| H0049 |
Alcohol and/or drug screening |
56 |
24 |
$960.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
109 |
63 |
$955.62 |
| 36415 |
Collection of venous blood by venipuncture |
467 |
389 |
$839.98 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
47 |
44 |
$695.39 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
90 |
50 |
$651.65 |
| 82950 |
|
13 |
13 |
$48.27 |
| 80305 |
|
32 |
13 |
$4.94 |
| 0501F |
|
411 |
253 |
$0.00 |
| 0503F |
|
16 |
12 |
$0.00 |