| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
568 |
467 |
$30K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
209 |
195 |
$8K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
52 |
52 |
$3K |
| 81025 |
|
238 |
228 |
$1K |
| 87210 |
|
175 |
166 |
$693.03 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
26 |
21 |
$308.94 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
18 |
18 |
$0.15 |