| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
850 |
850 |
$97K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,132 |
1,110 |
$78K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
1,875 |
1,712 |
$38K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,398 |
1,389 |
$30K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
51 |
51 |
$6K |
| 81025 |
|
970 |
947 |
$6K |
| 87210 |
|
242 |
239 |
$2K |
| 87220 |
|
196 |
193 |
$821.96 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17 |
17 |
$576.92 |