| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,321 |
10,812 |
$793K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,810 |
3,355 |
$372K |
| 81002 |
|
16,690 |
14,423 |
$55K |
| 59025 |
Fetal non-stress test |
398 |
333 |
$12K |
| 81025 |
|
1,010 |
982 |
$8K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
36 |
36 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
27 |
26 |
$3K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
12 |
12 |
$962.52 |
| 99071 |
|
241 |
233 |
$695.49 |
| 96160 |
|
40 |
40 |
$524.54 |
| 90674 |
|
12 |
12 |
$232.08 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$182.68 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
17 |
12 |
$65.96 |