| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,283 |
1,156 |
$116K |
| 99215 |
Prolong outpt/office vis |
756 |
711 |
$90K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,215 |
1,102 |
$76K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
106 |
106 |
$15K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
71 |
71 |
$8K |
| 99385 |
|
40 |
37 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
67 |
67 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
1,214 |
1,084 |
$4K |
| 81025 |
|
418 |
409 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
153 |
143 |
$2K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
28 |
27 |
$2K |
| 81002 |
|
433 |
372 |
$838.21 |