| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,155 |
5,866 |
$319K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,998 |
1,875 |
$98K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
1,172 |
1,095 |
$82K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
685 |
462 |
$66K |
| 59025 |
Fetal non-stress test |
349 |
100 |
$20K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
381 |
345 |
$19K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
246 |
225 |
$15K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,197 |
1,121 |
$15K |
| 81025 |
|
2,821 |
2,531 |
$14K |
| 59426 |
|
14 |
13 |
$14K |
| 84703 |
|
689 |
636 |
$5K |
| 99442 |
|
81 |
72 |
$3K |
| 99385 |
|
15 |
15 |
$1K |
| 99402 |
|
17 |
17 |
$699.89 |
| 81002 |
|
7,633 |
6,373 |
$46.36 |