| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0612 |
Annual gynecological examination, established patient |
292 |
286 |
$17K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
382 |
349 |
$13K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
105 |
104 |
$1K |
| 87210 |
|
225 |
201 |
$7.35 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
46 |
40 |
$0.00 |
| D1999 |
|
27 |
27 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17 |
17 |
$0.00 |
| A4208 |
Syringe with needle, sterile 3 cc, each |
26 |
25 |
$0.00 |