| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,467 |
4,777 |
$255K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
815 |
717 |
$53K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
332 |
326 |
$21K |
| 81025 |
|
821 |
767 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
134 |
124 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
85 |
81 |
$1K |
| 99385 |
|
12 |
12 |
$920.96 |
| H1000 |
Prenatal care, at-risk assessment |
66 |
64 |
$778.91 |
| 81002 |
|
68 |
68 |
$173.06 |
| 80305 |
|
38 |
26 |
$122.48 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
38 |
38 |
$0.00 |