| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
945 |
881 |
$124K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
350 |
340 |
$31K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
333 |
324 |
$21K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
318 |
316 |
$10K |
| 99201 |
|
57 |
57 |
$8K |
| 81025 |
|
747 |
687 |
$8K |
| Q0111 |
Wet mounts, including preparations of vaginal, cervical or skin specimens |
295 |
294 |
$6K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
323 |
323 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$2K |
| 86703 |
|
46 |
46 |
$828.00 |