| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,428 |
2,360 |
$210K |
| 99215 |
Prolong outpt/office vis |
1,867 |
799 |
$132K |
| 99220 |
|
840 |
314 |
$90K |
| 99234 |
|
289 |
124 |
$29K |
| 81002 |
|
5,543 |
2,397 |
$15K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
38 |
37 |
$5K |
| 81025 |
|
346 |
323 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
14 |
14 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
84 |
83 |
$1K |
| 90674 |
|
45 |
43 |
$866.10 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
14 |
$174.93 |