| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59426 |
|
472 |
212 |
$26K |
| 59425 |
|
407 |
329 |
$26K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
81 |
70 |
$6K |
| 81003 |
|
2,044 |
1,194 |
$3K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
18 |
13 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
121 |
93 |
$202.89 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$172.60 |