| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,496 |
4,228 |
$169K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
970 |
965 |
$87K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
207 |
207 |
$31K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
512 |
484 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
262 |
261 |
$14K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
116 |
116 |
$12K |
| 99386 |
|
119 |
119 |
$11K |
| 99385 |
|
39 |
39 |
$4K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
24 |
24 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
56 |
50 |
$1K |
| 87210 |
|
26 |
26 |
$133.50 |
| 81025 |
|
25 |
25 |
$105.00 |
| 81000 |
|
12 |
12 |
$42.57 |