| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,173 |
4,634 |
$703K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,073 |
933 |
$73K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
6,917 |
4,269 |
$59K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
368 |
304 |
$45K |
| 99215 |
Prolong outpt/office vis |
155 |
147 |
$21K |
| H1000 |
Prenatal care, at-risk assessment |
589 |
494 |
$19K |
| 81025 |
|
3,023 |
2,520 |
$16K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
410 |
346 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
78 |
75 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
427 |
343 |
$5K |
| 99205 |
Prolong outpt/office vis |
15 |
13 |
$3K |
| 59430 |
|
12 |
12 |
$2K |
| 3015F |
|
42 |
38 |
$578.00 |
| 36415 |
Collection of venous blood by venipuncture |
18 |
15 |
$35.85 |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
356 |
251 |
$0.72 |