| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,108 |
1,020 |
$64K |
| 59025 |
Fetal non-stress test |
1,508 |
1,001 |
$45K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
151 |
145 |
$15K |
| 36415 |
Collection of venous blood by venipuncture |
3,536 |
3,214 |
$9K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
260 |
242 |
$5K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
78 |
63 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
25 |
25 |
$4K |
| 90834 |
Psychotherapy, 45 minutes with patient |
18 |
13 |
$2K |
| 90674 |
|
59 |
58 |
$2K |
| 81025 |
|
172 |
162 |
$868.25 |
| 90715 |
|
12 |
12 |
$357.83 |
| 87210 |
|
12 |
12 |
$39.28 |
| T1015 |
Clinic visit/encounter, all-inclusive |
261 |
258 |
$0.01 |
| 3074F |
|
1,046 |
942 |
$0.00 |
| 3008F |
|
1,553 |
1,398 |
$0.00 |
| 3079F |
|
135 |
129 |
$0.00 |
| 3078F |
|
589 |
537 |
$0.00 |
| 1159F |
|
1,293 |
1,179 |
$0.00 |
| 1160F |
|
1,008 |
911 |
$0.00 |