| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59426 |
|
3,873 |
803 |
$95K |
| 59425 |
|
2,386 |
816 |
$61K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,254 |
528 |
$23K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,700 |
625 |
$15K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
280 |
125 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
64 |
25 |
$1K |
| 90756 |
|
82 |
49 |
$984.97 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
64 |
48 |
$617.26 |
| 90715 |
|
63 |
26 |
$364.10 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
444 |
111 |
$210.92 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
25 |
15 |
$84.46 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
53 |
16 |
$81.30 |
| 99235 |
|
48 |
12 |
$0.00 |