| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,673 |
2,489 |
$41K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
431 |
378 |
$19K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
1,553 |
1,441 |
$14K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
338 |
313 |
$6K |
| 81025 |
|
681 |
595 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
40 |
39 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
140 |
121 |
$3K |
| 90715 |
|
241 |
233 |
$3K |
| 90651 |
|
74 |
71 |
$1K |
| 99000 |
|
1,212 |
1,119 |
$1K |
| 90619 |
|
110 |
106 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
525 |
479 |
$1K |
| 90734 |
|
79 |
75 |
$1K |
| 87210 |
|
280 |
123 |
$1K |
| 90686 |
|
70 |
70 |
$932.36 |
| S4993 |
Contraceptive pills for birth control |
52 |
42 |
$139.83 |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
15 |
12 |
$61.63 |