| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,629 |
1,509 |
$80K |
| 81025 |
|
2,676 |
1,654 |
$11K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
132 |
91 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
126 |
112 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
275 |
233 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
68 |
28 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
56 |
53 |
$531.48 |
| 81002 |
|
53 |
24 |
$38.11 |