| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
402 |
351 |
$30K |
| 59025 |
Fetal non-stress test |
508 |
299 |
$23K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
148 |
146 |
$12K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
203 |
189 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
32 |
30 |
$3K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
60 |
59 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
12 |
$639.34 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
13 |
13 |
$622.44 |
| 86580 |
|
28 |
28 |
$295.40 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
18 |
14 |
$276.30 |