| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,912 |
1,690 |
$78K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
267 |
261 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
116 |
112 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
373 |
368 |
$5K |
| T1015 |
Clinic visit/encounter, all-inclusive |
19 |
19 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
99 |
99 |
$4K |
| 81025 |
|
64 |
59 |
$277.40 |
| 99072 |
|
83 |
82 |
$273.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$198.00 |
| 96127 |
|
39 |
39 |
$171.60 |
| 99401 |
|
32 |
32 |
$146.82 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
14 |
14 |
$0.00 |
| 3008F |
|
15 |
15 |
$0.00 |
| 3074F |
|
15 |
15 |
$0.00 |
| 2000F |
|
15 |
15 |
$0.00 |
| 2001F |
|
16 |
16 |
$0.00 |