| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
3,526 |
3,337 |
$467K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,642 |
2,538 |
$170K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,123 |
1,063 |
$129K |
| 99201 |
|
718 |
650 |
$92K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,121 |
2,081 |
$69K |
| Q0111 |
Wet mounts, including preparations of vaginal, cervical or skin specimens |
2,171 |
2,124 |
$45K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
193 |
180 |
$34K |
| 81025 |
|
3,223 |
3,063 |
$33K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
1,364 |
1,363 |
$33K |
| 86703 |
|
1,380 |
1,376 |
$25K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
177 |
177 |
$16K |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
606 |
598 |
$9K |
| 81002 |
|
27 |
27 |
$169.02 |
| 85018 |
|
12 |
12 |
$138.48 |