| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
623 |
554 |
$39K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
245 |
199 |
$18K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
259 |
229 |
$10K |
| 81025 |
|
1,276 |
1,035 |
$9K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
160 |
145 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
260 |
218 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
47 |
46 |
$886.42 |
| 81002 |
|
111 |
102 |
$328.67 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12 |
12 |
$201.42 |
| 99000 |
|
29 |
28 |
$78.52 |
| 90686 |
|
18 |
18 |
$71.88 |
| 96127 |
|
16 |
16 |
$67.20 |