| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
498 |
465 |
$31K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
47 |
47 |
$5K |
| 81025 |
|
296 |
287 |
$2K |
| 99385 |
|
12 |
12 |
$1K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
17 |
17 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
23 |
22 |
$440.75 |
| 0500F |
|
72 |
72 |
$0.00 |