| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,135 |
868 |
$42K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
148 |
126 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
490 |
396 |
$10K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
123 |
89 |
$8K |
| 81025 |
|
429 |
285 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
19 |
15 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
12 |
$644.82 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
55 |
36 |
$628.23 |
| 36415 |
Collection of venous blood by venipuncture |
548 |
401 |
$579.38 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
32 |
29 |
$420.45 |
| 87210 |
|
119 |
95 |
$410.70 |
| 90686 |
|
14 |
13 |
$198.60 |
| 3074F |
|
17 |
14 |
$0.00 |
| 1159F |
|
30 |
25 |
$0.00 |