| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0502F |
|
2,480 |
1,324 |
$109K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
852 |
666 |
$20K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
46 |
41 |
$3K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
20 |
16 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
52 |
39 |
$484.50 |
| 90686 |
|
22 |
17 |
$427.86 |
| 90688 |
|
18 |
13 |
$309.68 |
| 81002 |
|
336 |
201 |
$174.91 |
| 88142 |
|
32 |
30 |
$80.22 |