| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,506 |
2,141 |
$113K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
127 |
104 |
$7K |
| 81002 |
|
2,286 |
2,020 |
$5K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
76 |
67 |
$4K |
| 81025 |
|
404 |
370 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
89 |
83 |
$1K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
12 |
12 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
32 |
30 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
84 |
69 |
$449.74 |
| 36415 |
Collection of venous blood by venipuncture |
147 |
139 |
$332.55 |
| 90688 |
|
25 |
19 |
$288.06 |
| 90658 |
|
16 |
15 |
$190.34 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$181.16 |
| 85018 |
|
31 |
29 |
$69.25 |
| 99000 |
|
299 |
259 |
$0.00 |