| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59425 |
|
904 |
706 |
$57K |
| 59426 |
|
387 |
184 |
$23K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
137 |
122 |
$12K |
| 36415 |
Collection of venous blood by venipuncture |
1,268 |
1,045 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
80 |
76 |
$3K |
| 81002 |
|
1,178 |
725 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
40 |
39 |
$3K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
44 |
37 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
12 |
$30.90 |
| 87800 |
|
13 |
12 |
$18.97 |
| 90656 |
|
16 |
15 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
21 |
19 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
88 |
83 |
$0.00 |