| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,423 |
1,254 |
$51K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
314 |
274 |
$16K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
17 |
12 |
$696.88 |
| 90674 |
|
30 |
28 |
$510.20 |
| 36415 |
Collection of venous blood by venipuncture |
220 |
203 |
$491.08 |
| 81025 |
|
45 |
40 |
$252.27 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
14 |
$123.54 |
| G0008 |
Administration of influenza virus vaccine |
14 |
13 |
$93.68 |
| 82950 |
|
14 |
13 |
$45.14 |
| 81002 |
|
16 |
14 |
$41.85 |
| 85018 |
|
13 |
12 |
$15.45 |