| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,063 |
1,708 |
$455K |
| T1015 |
Clinic visit/encounter, all-inclusive |
562 |
439 |
$116K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
580 |
548 |
$43K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
115 |
114 |
$25K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
116 |
110 |
$24K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
15 |
15 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
86 |
86 |
$1K |
| 81003 |
|
1,107 |
849 |
$860.67 |
| 81025 |
|
176 |
171 |
$525.75 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
138 |
132 |
$147.44 |
| 96127 |
|
85 |
85 |
$55.91 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
144 |
120 |
$0.02 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
142 |
118 |
$0.01 |
| 1126F |
|
288 |
249 |
$0.00 |
| 99000 |
|
46 |
44 |
$0.00 |
| 1160F |
|
275 |
242 |
$0.00 |
| 1159F |
|
294 |
260 |
$0.00 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
120 |
103 |
$0.00 |