| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
949 |
878 |
$58K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
172 |
169 |
$15K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
74 |
74 |
$7K |
| 81025 |
|
541 |
521 |
$3K |
| 99385 |
|
19 |
19 |
$2K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
30 |
29 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
42 |
38 |
$725.34 |
| 0500F |
|
168 |
167 |
$0.00 |
| 0503F |
|
28 |
28 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
42 |
42 |
$0.00 |