| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,336 |
9,541 |
$513K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,723 |
2,527 |
$148K |
| 59430 |
|
123 |
119 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
53 |
51 |
$4K |
| 81025 |
|
702 |
677 |
$3K |
| 90715 |
|
75 |
63 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
138 |
128 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
136 |
108 |
$2K |
| 81003 |
|
3,435 |
2,400 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
13 |
$765.12 |
| 90686 |
|
23 |
14 |
$282.21 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
42 |
42 |
$3.46 |
| 99024 |
|
23 |
12 |
$0.00 |