| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
433 |
296 |
$16K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
240 |
207 |
$12K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
95 |
92 |
$7K |
| 81002 |
|
745 |
497 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
20 |
17 |
$259.85 |