| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17,230 |
13,936 |
$1.27M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,845 |
5,705 |
$350K |
| 76830 |
Ultrasound, transvaginal |
1,411 |
1,331 |
$139K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,401 |
1,297 |
$94K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,894 |
1,623 |
$23K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
552 |
485 |
$14K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
147 |
142 |
$12K |
| 81025 |
|
760 |
714 |
$5K |
| 81003 |
|
744 |
683 |
$1K |
| 87210 |
|
323 |
280 |
$1K |
| 90686 |
|
44 |
43 |
$635.95 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
40 |
40 |
$371.79 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
99 |
84 |
$199.87 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
579 |
515 |
$121.59 |