| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
840 |
621 |
$19K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
213 |
184 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
205 |
157 |
$6K |
| 54150 |
|
26 |
26 |
$4K |
| 84703 |
|
840 |
697 |
$4K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
32 |
28 |
$1K |
| G9357 |
Post-partum screenings, evaluations and education performed |
15 |
12 |
$1K |
| 76830 |
Ultrasound, transvaginal |
18 |
15 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
39 |
26 |
$975.20 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
65 |
62 |
$590.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
19 |
15 |
$299.93 |
| 90674 |
|
13 |
12 |
$264.55 |
| 87210 |
|
58 |
48 |
$214.23 |
| 80305 |
|
23 |
13 |
$62.82 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
12 |
$50.00 |
| 81003 |
|
13 |
12 |
$30.00 |
| 81000 |
|
20 |
13 |
$0.00 |
| 81002 |
|
121 |
74 |
$0.00 |