| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,006 |
913 |
$63K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
559 |
522 |
$50K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
202 |
198 |
$18K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
135 |
131 |
$6K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
103 |
90 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
19 |
17 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
30 |
27 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
422 |
382 |
$1K |
| 90461 |
|
19 |
17 |
$49.50 |
| 90723 |
|
24 |
24 |
$0.00 |
| 90647 |
|
12 |
12 |
$0.00 |
| 90670 |
|
13 |
13 |
$0.00 |