| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,393 |
4,845 |
$157K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,707 |
1,696 |
$115K |
| 99385 |
|
1,031 |
1,026 |
$78K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,918 |
2,533 |
$54K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
704 |
694 |
$49K |
| S4993 |
Contraceptive pills for birth control |
435 |
434 |
$24K |
| 81025 |
|
2,794 |
2,725 |
$20K |
| 81002 |
|
4,621 |
4,528 |
$13K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,021 |
1,007 |
$12K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
315 |
314 |
$10K |
| 76830 |
Ultrasound, transvaginal |
108 |
108 |
$10K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
53 |
53 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
82 |
82 |
$4K |
| A4267 |
Contraceptive supply, condom, male, each |
778 |
752 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
38 |
38 |
$3K |
| 11982 |
|
14 |
14 |
$1K |
| 90673 |
|
26 |
26 |
$545.00 |