| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,483 |
14,380 |
$805K |
| 59410 |
|
639 |
539 |
$441K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,330 |
2,248 |
$181K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,653 |
1,459 |
$130K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
5,345 |
4,552 |
$104K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
1,528 |
1,278 |
$97K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
5,446 |
4,568 |
$96K |
| 99215 |
Prolong outpt/office vis |
1,145 |
1,039 |
$80K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,152 |
1,026 |
$59K |
| 59515 |
|
90 |
76 |
$56K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
319 |
300 |
$28K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,479 |
1,328 |
$22K |
| 99205 |
Prolong outpt/office vis |
29 |
29 |
$4K |
| 76801 |
|
56 |
54 |
$3K |
| 99385 |
|
39 |
38 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
108 |
100 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
12 |
12 |
$1K |