| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,128 |
6,062 |
$380K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
107 |
103 |
$6K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
39 |
39 |
$6K |
| 76801 |
|
55 |
53 |
$4K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
44 |
41 |
$3K |
| 76830 |
Ultrasound, transvaginal |
41 |
39 |
$3K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
27 |
25 |
$2K |
| 59430 |
|
16 |
12 |
$997.31 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
14 |
$258.85 |
| 90656 |
|
14 |
13 |
$240.82 |
| 87210 |
|
51 |
49 |
$207.96 |
| 96127 |
|
32 |
26 |
$123.76 |