| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,295 |
2,782 |
$191K |
| 99215 |
Prolong outpt/office vis |
854 |
762 |
$96K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
377 |
340 |
$31K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
187 |
172 |
$26K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
134 |
127 |
$12K |
| 81002 |
|
1,510 |
1,069 |
$5K |
| 99205 |
Prolong outpt/office vis |
12 |
12 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
14 |
13 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
13 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
43 |
41 |
$759.96 |
| 81025 |
|
57 |
55 |
$458.41 |
| 99072 |
|
37 |
35 |
$30.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
15 |
15 |
$0.11 |
| 0502F |
|
908 |
610 |
$0.00 |