| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59426 |
|
8,950 |
3,678 |
$603K |
| 59425 |
|
8,900 |
5,304 |
$563K |
| T1015 |
Clinic visit/encounter, all-inclusive |
21,995 |
11,017 |
$287K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,620 |
1,032 |
$117K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
605 |
382 |
$37K |
| 81002 |
|
11,422 |
5,900 |
$32K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
841 |
582 |
$31K |
| 59430 |
|
170 |
112 |
$23K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
203 |
112 |
$15K |
| 59025 |
Fetal non-stress test |
375 |
101 |
$13K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,014 |
684 |
$8K |
| 99354 |
|
124 |
70 |
$6K |
| G9997 |
Documentation of patient pregnancy anytime during the measurement period prior to and including the current encounter |
128 |
68 |
$5K |
| J3490 |
Unclassified drugs |
79 |
66 |
$4K |
| 81025 |
|
422 |
276 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
150 |
97 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
19 |
16 |
$1K |
| 99385 |
|
17 |
14 |
$1K |
| 90686 |
|
93 |
53 |
$936.51 |
| 96127 |
|
66 |
56 |
$194.52 |