| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
445 |
373 |
$17K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
124 |
103 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
67 |
50 |
$3K |
| 59025 |
Fetal non-stress test |
83 |
36 |
$2K |
| 99215 |
Prolong outpt/office vis |
27 |
26 |
$2K |
| 76830 |
Ultrasound, transvaginal |
26 |
25 |
$2K |
| 76818 |
|
24 |
12 |
$1K |
| 81025 |
|
190 |
181 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$1K |
| 90674 |
|
21 |
21 |
$541.79 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
37 |
34 |
$219.59 |
| 36415 |
Collection of venous blood by venipuncture |
52 |
38 |
$148.72 |
| 99406 |
|
13 |
13 |
$103.78 |
| 81002 |
|
28 |
26 |
$73.50 |
| 2000F |
|
16 |
14 |
$0.00 |