| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,496 |
1,281 |
$129K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
192 |
159 |
$16K |
| 80305 |
|
2,908 |
1,353 |
$11K |
| 99000 |
|
2,904 |
1,352 |
$4K |
| 99205 |
Prolong outpt/office vis |
43 |
42 |
$4K |
| 99215 |
Prolong outpt/office vis |
17 |
12 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
13 |
$479.70 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
59 |
23 |
$390.82 |
| J0725 |
Injection, chorionic gonadotropin, per 1,000 usp units |
42 |
17 |
$114.38 |
| J1071 |
Injection, testosterone cypionate, 1 mg |
53 |
19 |
$38.40 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
20 |
12 |
$18.63 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23 |
12 |
$0.00 |