| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,625 |
5,410 |
$220K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,113 |
971 |
$47K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
657 |
558 |
$34K |
| 87510 |
|
2,037 |
1,762 |
$30K |
| 87480 |
|
2,034 |
1,761 |
$30K |
| 87660 |
|
2,039 |
1,765 |
$30K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
407 |
323 |
$17K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
560 |
467 |
$11K |
| 81025 |
|
1,472 |
1,222 |
$6K |
| 99459 |
|
556 |
484 |
$6K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
26 |
24 |
$1K |
| 96160 |
|
57 |
38 |
$541.89 |
| 81002 |
|
6,759 |
5,749 |
$541.41 |
| 90674 |
|
45 |
26 |
$448.05 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
14 |
14 |
$164.28 |
| 81003 |
|
185 |
140 |
$13.51 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
60 |
37 |
$12.52 |
| 3511F |
|
122 |
104 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
12 |
12 |
$0.00 |