| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,262 |
1,498 |
$82K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
468 |
362 |
$13K |
| 81025 |
|
3,291 |
2,457 |
$12K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
42 |
38 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
36 |
29 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
79 |
66 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
169 |
122 |
$458.77 |
| 81002 |
|
565 |
310 |
$174.90 |
| 87210 |
|
74 |
59 |
$169.48 |
| Q0111 |
Wet mounts, including preparations of vaginal, cervical or skin specimens |
75 |
59 |
$72.00 |
| 81000 |
|
162 |
80 |
$55.66 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
149 |
106 |
$1.61 |