| Code | Description | Claims | Beneficiaries | Total Paid |
| 99215 |
Prolong outpt/office vis |
211 |
161 |
$21K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
35 |
28 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
588 |
533 |
$3K |
| 99401 |
|
139 |
136 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
27 |
27 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
16 |
15 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
16 |
16 |
$660.87 |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
201 |
150 |
$291.76 |
| 97803 |
|
12 |
12 |
$131.53 |
| 99000 |
|
70 |
54 |
$0.00 |
| 99402 |
|
24 |
24 |
$0.00 |
| 99403 |
|
85 |
80 |
$0.00 |