| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59426 |
|
7,416 |
4,302 |
$569K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,724 |
6,629 |
$347K |
| 59425 |
|
3,034 |
2,347 |
$213K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
890 |
775 |
$60K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
453 |
409 |
$34K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
512 |
408 |
$25K |
| 81025 |
|
2,416 |
2,032 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
178 |
154 |
$11K |
| 59410 |
|
17 |
14 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
91 |
81 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
462 |
390 |
$5K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
70 |
52 |
$3K |
| 81003 |
|
1,420 |
1,040 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
18 |
12 |
$1K |
| 59025 |
Fetal non-stress test |
41 |
36 |
$1K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
14 |
12 |
$862.79 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
28 |
26 |
$794.88 |
| 36415 |
Collection of venous blood by venipuncture |
414 |
322 |
$636.47 |
| 99459 |
|
67 |
61 |
$252.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
29 |
24 |
$193.48 |
| 88738 |
|
59 |
49 |
$188.97 |