| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
6,495 |
3,635 |
$623K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
69 |
63 |
$3K |
| 90715 |
|
76 |
73 |
$329.85 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
461 |
325 |
$302.25 |
| 0502F |
|
3,020 |
1,515 |
$179.50 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
409 |
283 |
$109.62 |
| 90686 |
|
53 |
50 |
$57.40 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
361 |
261 |
$26.00 |
| 0500F |
|
296 |
241 |
$0.29 |
| 0503F |
|
156 |
104 |
$0.07 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16 |
16 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$0.00 |