| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,733 |
4,986 |
$247K |
| 81002 |
|
4,165 |
2,506 |
$11K |
| 81000 |
|
2,687 |
1,789 |
$9K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
94 |
87 |
$6K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
94 |
90 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
93 |
83 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
123 |
97 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
190 |
172 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
15 |
12 |
$1K |
| 90674 |
|
32 |
32 |
$843.81 |
| 81025 |
|
75 |
64 |
$442.02 |
| 81003 |
|
136 |
128 |
$215.46 |