| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,906 |
4,826 |
$227K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,095 |
1,828 |
$46K |
| 99215 |
Prolong outpt/office vis |
430 |
344 |
$20K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
2,481 |
728 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
92 |
89 |
$4K |
| 90834 |
Psychotherapy, 45 minutes with patient |
109 |
65 |
$2K |
| 92015 |
Determination of refractive state |
272 |
252 |
$2K |
| 99205 |
Prolong outpt/office vis |
26 |
24 |
$1K |
| 98940 |
|
607 |
160 |
$905.16 |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
28 |
27 |
$453.03 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
17 |
12 |
$440.54 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
17 |
12 |
$376.44 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
12 |
12 |
$356.55 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
13 |
12 |
$236.42 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
17 |
12 |
$155.40 |
| 80053 |
Comprehensive metabolic panel |
36 |
25 |
$145.13 |
| 11721 |
|
14 |
13 |
$104.86 |
| 80061 |
Lipid panel |
15 |
12 |
$27.68 |
| 36415 |
Collection of venous blood by venipuncture |
222 |
122 |
$0.76 |