| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,227 |
1,130 |
$56K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
218 |
217 |
$18K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
37 |
37 |
$3K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
34 |
29 |
$2K |
| 81025 |
|
188 |
184 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
13 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$976.89 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
56 |
56 |
$728.74 |
| 76857 |
|
14 |
14 |
$453.69 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
43 |
42 |
$235.48 |