| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,431 |
1,315 |
$63K |
| 59514 |
|
116 |
115 |
$21K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
254 |
251 |
$20K |
| 81025 |
|
948 |
912 |
$6K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
75 |
73 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
62 |
62 |
$4K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
39 |
38 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
132 |
127 |
$2K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
195 |
189 |
$1K |
| 76857 |
|
28 |
27 |
$1K |