| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,101 |
1,025 |
$27K |
| 99000 |
|
1,833 |
1,787 |
$15K |
| 81025 |
|
2,850 |
2,496 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
984 |
886 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
355 |
351 |
$12K |
| A4267 |
Contraceptive supply, condom, male, each |
1,716 |
1,542 |
$9K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
119 |
118 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
78 |
77 |
$4K |
| 81002 |
|
422 |
415 |
$1K |
| 85018 |
|
695 |
681 |
$1K |
| 80061 |
Lipid panel |
185 |
176 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
119 |
118 |
$966.54 |
| S4993 |
Contraceptive pills for birth control |
12 |
12 |
$838.80 |
| 87210 |
|
129 |
126 |
$233.52 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
14 |
14 |
$110.85 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16 |
16 |
$23.52 |
| 99384 |
|
36 |
36 |
$0.00 |