| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
196 |
178 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
825 |
758 |
$2K |
| 96127 |
|
62 |
56 |
$698.00 |
| 59025 |
Fetal non-stress test |
22 |
14 |
$507.12 |
| 90686 |
|
34 |
25 |
$288.29 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
84 |
50 |
$203.01 |
| 96160 |
|
37 |
34 |
$201.39 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
19 |
12 |
$57.78 |