| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,102 |
2,534 |
$136K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
787 |
402 |
$61K |
| 59025 |
Fetal non-stress test |
580 |
264 |
$31K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
752 |
639 |
$20K |
| 81025 |
|
1,133 |
906 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
72 |
63 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
1,408 |
1,242 |
$4K |
| 99442 |
|
67 |
59 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
38 |
37 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
50 |
43 |
$629.74 |
| 90715 |
|
12 |
12 |
$323.40 |