| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,023 |
1,021 |
$102K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,099 |
1,058 |
$76K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
352 |
352 |
$60K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
436 |
435 |
$53K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
289 |
286 |
$23K |
| 99201 |
|
104 |
104 |
$15K |
| 81025 |
|
1,048 |
1,030 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
192 |
184 |
$10K |
| Q0111 |
Wet mounts, including preparations of vaginal, cervical or skin specimens |
301 |
299 |
$6K |
| 86703 |
|
295 |
295 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
463 |
458 |
$2K |
| 76830 |
Ultrasound, transvaginal |
15 |
15 |
$1K |
| 86901 |
|
118 |
117 |
$236.00 |
| 87210 |
|
17 |
17 |
$40.80 |