| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0502F |
|
3,358 |
2,002 |
$184K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
560 |
395 |
$56K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,060 |
926 |
$44K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
107 |
104 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
77 |
70 |
$6K |
| 76801 |
|
64 |
59 |
$4K |
| 59430 |
|
13 |
13 |
$3K |
| 90686 |
|
88 |
80 |
$2K |
| 76830 |
Ultrasound, transvaginal |
53 |
53 |
$2K |
| 81025 |
|
320 |
284 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
22 |
12 |
$1K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
13 |
13 |
$999.57 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
21 |
12 |
$925.34 |
| 36415 |
Collection of venous blood by venipuncture |
715 |
619 |
$179.18 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
60 |
51 |
$0.00 |