| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,449 |
1,313 |
$58K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
359 |
302 |
$22K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
252 |
250 |
$22K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
308 |
257 |
$14K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
93 |
91 |
$7K |
| 76801 |
|
38 |
38 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
217 |
202 |
$2K |
| 90656 |
|
77 |
73 |
$1K |
| 90715 |
|
17 |
17 |
$543.35 |