| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
997 |
741 |
$27K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
434 |
278 |
$19K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
535 |
385 |
$9K |
| 36415 |
Collection of venous blood by venipuncture |
2,156 |
1,856 |
$3K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
52 |
43 |
$3K |
| 80305 |
|
325 |
270 |
$2K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
67 |
51 |
$2K |
| 81025 |
|
555 |
478 |
$1K |
| 81002 |
|
1,651 |
1,318 |
$1K |
| H1000 |
Prenatal care, at-risk assessment |
20 |
13 |
$1K |
| 90674 |
|
47 |
43 |
$771.61 |
| 85018 |
|
372 |
297 |
$571.64 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
36 |
29 |
$288.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
72 |
65 |
$225.00 |
| 82950 |
|
38 |
37 |
$204.00 |
| 81000 |
|
293 |
204 |
$16.00 |
| 59426 |
|
13 |
13 |
$0.00 |