| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J7332 |
Hyaluronan or derivative, triluron, for intra-articular injection, 1 mg |
150 |
57 |
$21K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,603 |
4,833 |
$21K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
165 |
165 |
$5K |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
53 |
53 |
$2K |
| 93880 |
|
160 |
160 |
$2K |
| 90756 |
|
330 |
326 |
$2K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
71 |
70 |
$1K |
| 96156 |
|
94 |
94 |
$1K |
| 99215 |
Prolong outpt/office vis |
278 |
271 |
$1K |
| 99497 |
|
149 |
149 |
$1K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
183 |
182 |
$966.13 |
| 20610 |
|
597 |
254 |
$964.26 |
| 36415 |
Collection of venous blood by venipuncture |
647 |
621 |
$863.07 |
| 82947 |
|
2,015 |
1,664 |
$854.45 |
| 93000 |
|
231 |
223 |
$810.21 |
| Q2037 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) |
95 |
94 |
$801.17 |
| G0008 |
Administration of influenza virus vaccine |
351 |
347 |
$784.33 |
| G0328 |
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous |
171 |
163 |
$766.77 |
| 76770 |
|
158 |
158 |
$650.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
174 |
167 |
$583.62 |
| 90688 |
|
34 |
34 |
$415.57 |
| 93970 |
|
36 |
36 |
$384.79 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
190 |
165 |
$290.53 |
| J7321 |
Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose |
154 |
59 |
$48.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
55 |
55 |
$25.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
101 |
92 |
$21.55 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
14 |
14 |
$0.00 |