| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,243 |
852 |
$53K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
123 |
82 |
$7K |
| 99384 |
|
86 |
72 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
72 |
62 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
160 |
125 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
29 |
28 |
$2K |
| 96127 |
|
129 |
81 |
$2K |
| 90734 |
|
158 |
129 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
80 |
42 |
$735.75 |
| 90651 |
|
43 |
33 |
$497.67 |
| 99173 |
|
34 |
31 |
$253.30 |
| 81025 |
|
88 |
69 |
$247.17 |