| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
238 |
236 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
265 |
259 |
$12K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
120 |
119 |
$7K |
| 81025 |
|
555 |
538 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
251 |
249 |
$5K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
43 |
43 |
$3K |
| 87210 |
|
295 |
293 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$1K |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
16 |
15 |
$211.00 |
| 81002 |
|
28 |
28 |
$120.81 |