| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,735 |
2,219 |
$104K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,278 |
1,815 |
$101K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
248 |
225 |
$16K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
101 |
100 |
$9K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
279 |
274 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
51 |
51 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
824 |
745 |
$2K |
| 81002 |
|
203 |
191 |
$402.10 |
| 81025 |
|
55 |
48 |
$305.33 |
| H1000 |
Prenatal care, at-risk assessment |
12 |
12 |
$125.88 |