| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,633 |
1,453 |
$71K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
638 |
617 |
$36K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
878 |
746 |
$12K |
| 76801 |
|
189 |
187 |
$10K |
| 59426 |
|
12 |
12 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
278 |
239 |
$8K |
| 81025 |
|
1,090 |
1,039 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
96 |
95 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
242 |
236 |
$5K |
| T1015 |
Clinic visit/encounter, all-inclusive |
37 |
32 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
37 |
32 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
299 |
274 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
32 |
29 |
$1K |
| 58300 |
|
12 |
12 |
$710.22 |
| 87210 |
|
92 |
89 |
$274.10 |
| 81002 |
|
113 |
106 |
$204.36 |