| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,360 |
7,762 |
$1.01M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,799 |
1,473 |
$170K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
3,585 |
2,472 |
$150K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
912 |
808 |
$103K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,817 |
1,988 |
$25K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
40 |
25 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$1K |
| 81025 |
|
9,095 |
7,302 |
$67.25 |
| 81003 |
|
9,401 |
7,541 |
$12.61 |
| 76830 |
Ultrasound, transvaginal |
430 |
373 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
41 |
39 |
$0.00 |
| 85018 |
|
294 |
233 |
$0.00 |
| G0467 |
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
119 |
93 |
$0.00 |
| 85014 |
|
259 |
201 |
$0.00 |