| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,876 |
4,421 |
$227K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
331 |
299 |
$156K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
3,134 |
2,891 |
$105K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
960 |
862 |
$79K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,395 |
3,113 |
$39K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
530 |
476 |
$35K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
877 |
783 |
$33K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,026 |
958 |
$31K |
| 11981 |
|
209 |
188 |
$17K |
| 99201 |
|
956 |
898 |
$16K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
84 |
68 |
$9K |
| 81025 |
|
4,782 |
4,255 |
$7K |
| 11982 |
|
70 |
65 |
$6K |
| 87210 |
|
1,067 |
952 |
$1K |
| 58300 |
|
12 |
12 |
$906.93 |
| 36415 |
Collection of venous blood by venipuncture |
171 |
152 |
$322.66 |
| 90837 |
Psychotherapy, 53 minutes with patient |
88 |
40 |
$300.00 |
| 36416 |
|
1,854 |
1,689 |
$95.35 |
| 82120 |
|
66 |
66 |
$92.80 |
| S0612 |
Annual gynecological examination, established patient |
12 |
12 |
$75.06 |
| 83986 |
|
38 |
38 |
$34.08 |
| 81002 |
|
15 |
14 |
$6.16 |