| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,796 |
3,301 |
$117K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
919 |
903 |
$57K |
| 99000 |
|
2,839 |
2,691 |
$27K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
256 |
241 |
$11K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
186 |
160 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
62 |
61 |
$3K |
| 99385 |
|
39 |
39 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
198 |
174 |
$2K |
| 90686 |
|
67 |
67 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
67 |
67 |
$646.93 |
| 81025 |
|
53 |
50 |
$375.38 |