| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,952 |
1,782 |
$124K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
261 |
254 |
$30K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
257 |
253 |
$27K |
| 36415 |
Collection of venous blood by venipuncture |
3,107 |
2,690 |
$25K |
| 59025 |
Fetal non-stress test |
613 |
462 |
$17K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
114 |
95 |
$10K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
469 |
445 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
69 |
65 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
417 |
397 |
$6K |
| 81025 |
|
356 |
335 |
$6K |
| 99459 |
|
208 |
207 |
$6K |
| 76801 |
|
41 |
36 |
$4K |
| 90686 |
|
134 |
130 |
$2K |
| 81003 |
|
126 |
117 |
$527.14 |
| 90688 |
|
18 |
18 |
$185.40 |
| 99024 |
|
16 |
14 |
$0.00 |