| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59426 |
|
5,049 |
3,294 |
$377K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,644 |
4,545 |
$221K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,163 |
1,768 |
$126K |
| 59425 |
|
1,741 |
1,355 |
$123K |
| 99218 |
|
782 |
656 |
$54K |
| 59410 |
|
66 |
64 |
$48K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,172 |
949 |
$31K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
573 |
419 |
$28K |
| 81025 |
|
5,273 |
4,375 |
$25K |
| 36415 |
Collection of venous blood by venipuncture |
6,108 |
4,910 |
$10K |
| 76801 |
|
140 |
120 |
$9K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
200 |
157 |
$8K |
| 81003 |
|
6,438 |
5,205 |
$8K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
613 |
499 |
$7K |
| 99234 |
|
52 |
41 |
$5K |
| 59430 |
|
37 |
30 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
277 |
252 |
$4K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
55 |
38 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
48 |
40 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
172 |
151 |
$2K |
| 90686 |
|
113 |
99 |
$1K |
| 90658 |
|
68 |
57 |
$1K |
| 85018 |
|
291 |
248 |
$355.80 |
| 36416 |
|
138 |
119 |
$0.00 |