| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0502F |
|
2,241 |
1,422 |
$98K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
31 |
30 |
$3K |
| 90686 |
|
35 |
33 |
$634.39 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
62 |
36 |
$608.22 |
| 59025 |
Fetal non-stress test |
41 |
27 |
$323.90 |
| 36415 |
Collection of venous blood by venipuncture |
61 |
52 |
$36.90 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
34 |
31 |
$0.00 |