| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,600 |
1,399 |
$69K |
| 59426 |
|
529 |
352 |
$45K |
| 59425 |
|
253 |
214 |
$22K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
345 |
302 |
$19K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
290 |
274 |
$18K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
174 |
169 |
$11K |
| 99215 |
Prolong outpt/office vis |
65 |
64 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
252 |
220 |
$3K |
| 81025 |
|
421 |
406 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16 |
14 |
$1K |
| H1000 |
Prenatal care, at-risk assessment |
79 |
78 |
$944.10 |
| 76830 |
Ultrasound, transvaginal |
14 |
12 |
$854.71 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$722.02 |
| 36415 |
Collection of venous blood by venipuncture |
254 |
230 |
$515.64 |
| 59430 |
|
12 |
12 |
$411.22 |
| 81002 |
|
60 |
54 |
$125.96 |
| 0501F |
|
41 |
41 |
$0.00 |
| 0503F |
|
12 |
12 |
$0.00 |