| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
260 |
210 |
$9K |
| 76830 |
Ultrasound, transvaginal |
25 |
14 |
$596.55 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
47 |
29 |
$440.99 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
15 |
13 |
$326.56 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16 |
14 |
$213.05 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
19 |
12 |
$207.00 |