| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,311 |
1,111 |
$61K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
485 |
480 |
$38K |
| 76830 |
Ultrasound, transvaginal |
217 |
212 |
$22K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
161 |
161 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
166 |
160 |
$12K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
334 |
327 |
$6K |
| 59425 |
|
14 |
12 |
$5K |
| 81025 |
|
638 |
604 |
$4K |
| 81002 |
|
887 |
877 |
$3K |
| 99385 |
|
24 |
24 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
67 |
66 |
$2K |
| 87210 |
|
336 |
328 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
13 |
13 |
$2K |
| 85018 |
|
870 |
859 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$642.54 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
12 |
$150.73 |