| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,389 |
7,088 |
$422K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,039 |
3,817 |
$356K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
4,197 |
4,147 |
$245K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,834 |
5,696 |
$220K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
837 |
799 |
$128K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,360 |
1,325 |
$122K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,082 |
1,059 |
$117K |
| 81025 |
|
10,546 |
10,182 |
$108K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
5,482 |
5,202 |
$104K |
| 11982 |
|
573 |
561 |
$71K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
954 |
951 |
$63K |
| 87210 |
|
8,531 |
8,157 |
$57K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
4,598 |
4,501 |
$57K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
7,814 |
7,592 |
$54K |
| 11981 |
|
406 |
404 |
$41K |
| S4993 |
Contraceptive pills for birth control |
1,638 |
1,487 |
$33K |
| 58300 |
|
468 |
461 |
$28K |
| 58301 |
|
353 |
347 |
$28K |
| 99385 |
|
213 |
213 |
$26K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
60 |
60 |
$7K |
| J7298 |
Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg |
95 |
95 |
$7K |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
3,830 |
2,636 |
$6K |
| 81002 |
|
1,128 |
1,061 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
1,277 |
1,243 |
$2K |
| 99401 |
|
319 |
313 |
$2K |
| 99201 |
|
38 |
38 |
$1K |
| 85018 |
|
190 |
189 |
$747.44 |
| 86703 |
|
14 |
14 |
$274.23 |
| J3490 |
Unclassified drugs |
128 |
127 |
$18.50 |
| 36416 |
|
45 |
44 |
$4.50 |
| 99070 |
|
627 |
448 |
$0.00 |
| T5999 |
Supply, not otherwise specified |
87 |
80 |
$0.00 |
| A4550 |
Surgical trays |
12 |
12 |
$0.00 |