| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,588 |
2,844 |
$321K |
| 76820 |
|
636 |
305 |
$20K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
328 |
265 |
$18K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
193 |
187 |
$15K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
219 |
186 |
$11K |
| 76818 |
|
160 |
59 |
$9K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
123 |
56 |
$5K |
| 76830 |
Ultrasound, transvaginal |
29 |
27 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
44 |
42 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
14 |
14 |
$1K |
| 90686 |
|
27 |
27 |
$1K |