| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59426 |
|
1,423 |
651 |
$123K |
| 59425 |
|
710 |
515 |
$56K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
262 |
222 |
$20K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
207 |
184 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
177 |
144 |
$5K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
70 |
63 |
$4K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
27 |
24 |
$2K |
| 99205 |
Prolong outpt/office vis |
17 |
14 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
189 |
151 |
$919.28 |
| 90686 |
|
55 |
47 |
$819.45 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
52 |
43 |
$494.80 |
| 90674 |
|
25 |
19 |
$336.70 |
| 81025 |
|
26 |
24 |
$155.00 |
| 0500F |
|
28 |
28 |
$0.00 |
| 0502F |
|
1,318 |
729 |
$0.00 |