| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,676 |
6,988 |
$515K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,552 |
2,116 |
$199K |
| 81002 |
|
8,762 |
5,868 |
$26K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
202 |
193 |
$15K |
| 81025 |
|
2,051 |
1,910 |
$14K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
118 |
109 |
$13K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
302 |
285 |
$7K |
| 85018 |
|
2,496 |
2,208 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
188 |
174 |
$6K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
25 |
24 |
$4K |
| 87210 |
|
458 |
406 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
270 |
244 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
13 |
$1K |
| 83986 |
|
348 |
307 |
$1K |
| 82950 |
|
13 |
13 |
$145.77 |