| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,263 |
3,033 |
$222K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
657 |
437 |
$41K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
126 |
116 |
$7K |
| 82947 |
|
1,006 |
608 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
70 |
56 |
$2K |
| 76801 |
|
18 |
12 |
$924.04 |
| 85018 |
|
278 |
174 |
$646.64 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
20 |
12 |
$540.00 |
| 81025 |
|
28 |
25 |
$150.30 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
32 |
12 |
$150.00 |