| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0502F |
|
4,859 |
3,218 |
$225K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
927 |
675 |
$107K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
289 |
227 |
$35K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
466 |
450 |
$25K |
| 0500F |
|
574 |
413 |
$24K |
| 59430 |
|
230 |
205 |
$12K |
| H1000 |
Prenatal care, at-risk assessment |
478 |
382 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
67 |
56 |
$7K |
| 81025 |
|
534 |
413 |
$3K |
| 90686 |
|
76 |
55 |
$1K |
| 90715 |
|
39 |
26 |
$1K |
| 96127 |
|
45 |
42 |
$667.15 |
| 81003 |
|
172 |
150 |
$394.17 |
| 36415 |
Collection of venous blood by venipuncture |
17 |
13 |
$4.10 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
30 |
18 |
$0.00 |