| Code | Description | Claims | Beneficiaries | Total Paid |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,419 |
1,406 |
$144K |
| J9217 |
Leuprolide acetate (for depot suspension), 7.5 mg |
569 |
519 |
$85K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,878 |
2,631 |
$75K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
163 |
158 |
$9K |
| 81002 |
|
1,441 |
1,391 |
$2K |
| 96402 |
|
394 |
378 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$997.59 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
522 |
499 |
$843.78 |
| 51798 |
|
26 |
25 |
$313.99 |
| 36415 |
Collection of venous blood by venipuncture |
71 |
70 |
$206.88 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
568 |
525 |
$5.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
85 |
70 |
$4.00 |
| 1036F |
|
420 |
388 |
$0.00 |
| 1123F |
|
193 |
176 |
$0.00 |