| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
362 |
350 |
$19K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
235 |
220 |
$18K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
184 |
173 |
$12K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
488 |
471 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
59 |
59 |
$5K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
73 |
68 |
$2K |
| 81025 |
|
376 |
348 |
$1K |
| 87210 |
|
289 |
260 |
$1K |
| 59840 |
|
21 |
20 |
$0.00 |