| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,365 |
11,638 |
$503K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
760 |
650 |
$33K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
277 |
272 |
$20K |
| 59430 |
|
125 |
117 |
$10K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
15 |
15 |
$9K |
| 99000 |
|
933 |
850 |
$9K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
90 |
88 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
194 |
188 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
29 |
28 |
$2K |
| 90715 |
|
40 |
38 |
$1K |
| 90674 |
|
42 |
42 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
12 |
$332.70 |
| 36415 |
Collection of venous blood by venipuncture |
869 |
791 |
$0.00 |
| 3288F |
|
28 |
24 |
$0.00 |