| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,271 |
5,814 |
$855K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,539 |
2,167 |
$199K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
895 |
856 |
$100K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
389 |
370 |
$48K |
| 81025 |
|
6,179 |
4,791 |
$39K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
238 |
212 |
$36K |
| 99459 |
|
1,110 |
863 |
$19K |
| 87210 |
|
3,828 |
2,955 |
$17K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
184 |
178 |
$14K |
| 81002 |
|
4,895 |
3,635 |
$13K |
| 99385 |
|
14 |
14 |
$2K |