| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,510 |
1,386 |
$66K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
717 |
701 |
$53K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
512 |
512 |
$40K |
| 81025 |
|
1,880 |
1,803 |
$12K |
| 81002 |
|
3,799 |
3,120 |
$9K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
774 |
754 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
76 |
72 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
131 |
124 |
$4K |
| 81003 |
|
966 |
713 |
$1K |
| 99385 |
|
13 |
13 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
189 |
176 |
$531.83 |