| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,976 |
1,917 |
$217K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
990 |
953 |
$70K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
362 |
360 |
$56K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
198 |
198 |
$33K |
| 99201 |
|
87 |
85 |
$11K |
| Q0111 |
Wet mounts, including preparations of vaginal, cervical or skin specimens |
359 |
354 |
$8K |
| 81025 |
|
370 |
367 |
$4K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
228 |
228 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
92 |
91 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
114 |
113 |
$587.06 |
| 81000 |
|
27 |
27 |
$473.10 |
| 86703 |
|
12 |
12 |
$216.00 |
| 87210 |
|
13 |
13 |
$29.98 |