| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
188 |
188 |
$17K |
| 01966 |
|
150 |
145 |
$15K |
| 59899 |
|
103 |
91 |
$7K |
| 59841 |
|
105 |
93 |
$3K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
79 |
69 |
$602.16 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12 |
12 |
$98.40 |
| 86901 |
|
12 |
12 |
$35.76 |
| 85018 |
|
109 |
97 |
$28.32 |
| 99205 |
Prolong outpt/office vis |
99 |
87 |
$0.00 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
14 |
12 |
$0.00 |
| 88304 |
|
79 |
71 |
$0.00 |