| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
759 |
711 |
$119K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
307 |
287 |
$46K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
481 |
466 |
$18K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
820 |
784 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
273 |
255 |
$1K |
| 90686 |
|
122 |
122 |
$544.50 |
| 90715 |
|
140 |
137 |
$341.00 |
| 90651 |
|
33 |
33 |
$190.30 |