| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,216 |
1,988 |
$166K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,287 |
1,169 |
$135K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
450 |
414 |
$53K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
122 |
116 |
$3K |
| 81025 |
|
531 |
498 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
13 |
$1K |
| 99459 |
|
123 |
123 |
$1K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
16 |
13 |
$1K |
| 90686 |
|
47 |
46 |
$773.93 |
| 81002 |
|
42 |
37 |
$69.39 |
| 0502F |
|
8,065 |
5,800 |
$0.00 |