| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
793 |
747 |
$51K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
494 |
448 |
$20K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
65 |
60 |
$9K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
87 |
85 |
$7K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
64 |
63 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
143 |
125 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
13 |
$2K |
| 81025 |
|
215 |
190 |
$1K |
| 90715 |
|
38 |
34 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
58 |
54 |
$1K |
| 90630 |
|
16 |
16 |
$325.44 |