| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87510 |
|
3,525 |
2,935 |
$74K |
| 87660 |
|
3,528 |
2,936 |
$73K |
| 87480 |
|
3,530 |
2,937 |
$73K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,409 |
1,130 |
$65K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
410 |
351 |
$20K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
276 |
154 |
$6K |
| 76801 |
|
51 |
40 |
$4K |
| 81025 |
|
343 |
282 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
64 |
54 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
25 |
14 |
$1K |
| 90658 |
|
116 |
86 |
$600.94 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
38 |
32 |
$0.00 |