| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,497 |
1,114 |
$107K |
| 0502F |
|
1,161 |
925 |
$70K |
| 0500F |
|
312 |
294 |
$23K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
167 |
161 |
$14K |
| 81025 |
|
1,035 |
917 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
32 |
13 |
$2K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
66 |
49 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
121 |
89 |
$1K |
| 81002 |
|
427 |
377 |
$967.18 |
| 81003 |
|
401 |
368 |
$862.82 |
| 99459 |
|
40 |
39 |
$584.80 |
| 90686 |
|
19 |
14 |
$388.41 |
| 59025 |
Fetal non-stress test |
15 |
12 |
$265.40 |