| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,219 |
11,434 |
$995K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
12,704 |
11,977 |
$870K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,742 |
3,482 |
$392K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,522 |
2,310 |
$272K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
2,617 |
2,424 |
$178K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
10,631 |
9,949 |
$150K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,836 |
2,617 |
$142K |
| 81025 |
|
17,099 |
15,898 |
$100K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
100 |
90 |
$81K |
| 11982 |
|
117 |
113 |
$14K |
| 87210 |
|
3,346 |
3,142 |
$13K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
74 |
66 |
$11K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
78 |
66 |
$3K |
| 11981 |
|
27 |
25 |
$3K |
| 87806 |
|
105 |
89 |
$2K |
| 58300 |
|
28 |
25 |
$2K |
| 99201 |
|
40 |
39 |
$2K |
| 99215 |
Prolong outpt/office vis |
20 |
14 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
16 |
16 |
$353.10 |
| 85018 |
|
156 |
135 |
$272.93 |
| 81002 |
|
57 |
54 |
$128.19 |
| 36415 |
Collection of venous blood by venipuncture |
19 |
19 |
$41.11 |