| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,997 |
6,862 |
$437K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,155 |
905 |
$55K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
426 |
400 |
$33K |
| 76801 |
|
295 |
267 |
$21K |
| 59430 |
|
212 |
200 |
$18K |
| 90715 |
|
353 |
322 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
116 |
101 |
$6K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
94 |
45 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
338 |
312 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
55 |
53 |
$3K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
46 |
42 |
$2K |
| 81025 |
|
293 |
253 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
14 |
$325.69 |
| 90686 |
|
16 |
15 |
$228.36 |
| 0503F |
|
423 |
393 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
13 |
12 |
$0.00 |