| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,170 |
4,446 |
$504K |
| 59426 |
|
4,051 |
2,306 |
$480K |
| 59425 |
|
2,783 |
2,124 |
$323K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,588 |
2,264 |
$268K |
| 81025 |
|
2,499 |
2,106 |
$37K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
344 |
304 |
$28K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
897 |
802 |
$25K |
| 59410 |
|
31 |
29 |
$23K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
174 |
160 |
$17K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
95 |
88 |
$10K |
| 59025 |
Fetal non-stress test |
504 |
268 |
$6K |
| 99218 |
|
182 |
87 |
$6K |
| 81003 |
|
463 |
351 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
30 |
30 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
60 |
54 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
14 |
12 |
$861.72 |
| 99441 |
|
18 |
14 |
$195.92 |
| 90686 |
|
68 |
61 |
$156.24 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
56 |
50 |
$83.76 |
| 0502F |
|
2,592 |
1,729 |
$0.00 |
| 90715 |
|
13 |
12 |
$0.00 |
| 0500F |
|
298 |
276 |
$0.00 |
| 0503F |
|
297 |
251 |
$0.00 |