| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,125 |
1,090 |
$58K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
412 |
407 |
$35K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,351 |
1,338 |
$17K |
| 81025 |
|
1,235 |
1,212 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
307 |
300 |
$12K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
110 |
109 |
$6K |
| 87210 |
|
503 |
495 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$1K |
| 11981 |
|
12 |
12 |
$1K |
| S4993 |
Contraceptive pills for birth control |
52 |
51 |
$700.00 |
| 86703 |
|
27 |
26 |
$601.05 |
| 99401 |
|
68 |
68 |
$528.00 |
| 36415 |
Collection of venous blood by venipuncture |
188 |
186 |
$174.86 |
| 81002 |
|
24 |
24 |
$99.72 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
1,689 |
1,675 |
$0.00 |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
68 |
68 |
$0.00 |