| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,665 |
4,880 |
$242K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
560 |
476 |
$40K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
377 |
322 |
$25K |
| 81025 |
|
5,062 |
4,019 |
$19K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
18 |
12 |
$18K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
170 |
131 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
74 |
61 |
$7K |
| 87210 |
|
3,330 |
2,681 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
246 |
199 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
250 |
194 |
$3K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
35 |
27 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
46 |
28 |
$2K |
| 0500F |
|
372 |
291 |
$575.43 |
| 81002 |
|
215 |
170 |
$326.84 |
| 0501F |
|
193 |
151 |
$300.00 |