| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,890 |
2,732 |
$333K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,073 |
3,798 |
$307K |
| 76830 |
Ultrasound, transvaginal |
648 |
621 |
$72K |
| 59426 |
|
204 |
170 |
$24K |
| 81002 |
|
10,021 |
8,912 |
$12K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
89 |
85 |
$12K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
76 |
73 |
$11K |
| 36415 |
Collection of venous blood by venipuncture |
2,987 |
2,877 |
$8K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
56 |
54 |
$5K |
| 81025 |
|
454 |
419 |
$4K |
| 1124F |
|
9,995 |
8,927 |
$4K |
| 99459 |
|
119 |
113 |
$3K |
| 59425 |
|
15 |
13 |
$2K |
| 99000 |
|
12,126 |
11,369 |
$1K |
| 90686 |
|
46 |
45 |
$830.97 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
33 |
33 |
$385.71 |