| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,863 |
2,735 |
$73K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
613 |
554 |
$42K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
504 |
465 |
$24K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
168 |
150 |
$15K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
190 |
187 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
144 |
134 |
$12K |
| 76801 |
|
26 |
26 |
$2K |
| 99383 |
|
12 |
12 |
$1K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
14 |
13 |
$997.04 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$329.88 |
| 36416 |
|
13 |
12 |
$0.00 |
| 90648 |
|
73 |
70 |
$0.00 |
| 90670 |
|
68 |
65 |
$0.00 |