| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
518 |
507 |
$32K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
190 |
187 |
$18K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
260 |
260 |
$16K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
258 |
256 |
$13K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
444 |
441 |
$9K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
246 |
246 |
$8K |
| S4993 |
Contraceptive pills for birth control |
128 |
124 |
$3K |
| 81025 |
|
255 |
248 |
$3K |
| 87210 |
|
340 |
333 |
$3K |