| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,947 |
9,859 |
$657K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,011 |
2,690 |
$281K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,486 |
1,399 |
$58K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
232 |
226 |
$18K |
| 81025 |
|
1,491 |
1,441 |
$11K |
| 76801 |
|
86 |
81 |
$8K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
83 |
79 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
54 |
50 |
$5K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
37 |
37 |
$5K |
| 99215 |
Prolong outpt/office vis |
14 |
13 |
$2K |
| 76830 |
Ultrasound, transvaginal |
14 |
14 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
336 |
325 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
13 |
13 |
$859.64 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
41 |
41 |
$647.76 |
| 90715 |
|
12 |
12 |
$504.00 |
| 87210 |
|
18 |
17 |
$78.54 |