| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,527 |
1,463 |
$91K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
713 |
713 |
$59K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
24 |
24 |
$23K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
247 |
247 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
163 |
159 |
$14K |
| 81025 |
|
1,592 |
1,579 |
$12K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
453 |
452 |
$7K |
| 36415 |
Collection of venous blood by venipuncture |
516 |
493 |
$1K |
| 11981 |
|
13 |
13 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
31 |
31 |
$529.16 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$485.70 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
30 |
30 |
$222.88 |
| 87210 |
|
38 |
37 |
$185.52 |
| 83986 |
|
13 |
12 |
$48.75 |