| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
4,000 |
2,361 |
$456K |
| 3078F |
|
47 |
40 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
405 |
256 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
195 |
98 |
$0.00 |
| 81025 |
|
342 |
195 |
$0.00 |
| 0502F |
|
332 |
177 |
$0.00 |
| 1160F |
|
51 |
44 |
$0.00 |
| 1159F |
|
51 |
44 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
24 |
12 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,151 |
1,311 |
$0.00 |
| 2010F |
|
64 |
55 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
94 |
40 |
$0.00 |
| 1036F |
|
52 |
44 |
$0.00 |
| 2000F |
|
60 |
51 |
$0.00 |
| 1126F |
|
26 |
19 |
$0.00 |
| 3074F |
|
48 |
42 |
$0.00 |
| 3351F |
|
16 |
16 |
$0.00 |
| 3008F |
|
63 |
54 |
$0.00 |