| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,256 |
3,786 |
$295K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,230 |
1,230 |
$128K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
897 |
849 |
$41K |
| 87806 |
|
1,149 |
1,144 |
$31K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
298 |
288 |
$31K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
250 |
250 |
$28K |
| 86780 |
|
1,100 |
1,094 |
$19K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
694 |
693 |
$17K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
828 |
825 |
$15K |
| 81025 |
|
2,231 |
2,152 |
$11K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
26 |
26 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
15 |
$1K |
| 87210 |
|
57 |
56 |
$349.41 |
| S4993 |
Contraceptive pills for birth control |
13 |
13 |
$27.54 |
| 99001 |
|
1,224 |
1,206 |
$4.01 |
| 99459 |
|
40 |
39 |
$0.00 |