| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59426 |
|
1,672 |
579 |
$62K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,446 |
1,059 |
$23K |
| 59425 |
|
563 |
337 |
$17K |
| 59430 |
|
250 |
206 |
$14K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
546 |
477 |
$10K |
| 81002 |
|
3,028 |
1,426 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
349 |
293 |
$2K |
| 90686 |
|
201 |
183 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
25 |
24 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
27 |
25 |
$1K |
| 81025 |
|
266 |
227 |
$576.42 |
| 90715 |
|
49 |
37 |
$485.10 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
124 |
117 |
$167.17 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
82 |
80 |
$0.00 |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
36 |
26 |
$0.00 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
49 |
41 |
$0.00 |
| 76830 |
Ultrasound, transvaginal |
13 |
13 |
$0.00 |