| Code | Description | Claims | Beneficiaries | Total Paid |
| 54360 |
|
142 |
95 |
$40K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
580 |
548 |
$28K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
302 |
293 |
$26K |
| 14040 |
|
112 |
106 |
$24K |
| 54150 |
|
192 |
181 |
$13K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
303 |
263 |
$9K |
| 55180 |
|
45 |
31 |
$8K |
| 99253 |
|
102 |
95 |
$7K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
61 |
56 |
$6K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
41 |
39 |
$4K |
| 54300 |
|
26 |
12 |
$4K |
| 54161 |
|
49 |
42 |
$2K |
| 99254 |
|
17 |
17 |
$1K |
| 76870 |
|
15 |
13 |
$506.50 |
| 99024 |
|
43 |
43 |
$0.00 |