| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
387 |
295 |
$13K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
941 |
861 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
492 |
294 |
$10K |
| 90715 |
|
752 |
712 |
$8K |
| 90734 |
|
403 |
398 |
$6K |
| 90619 |
|
312 |
311 |
$4K |
| 99000 |
|
2,671 |
2,216 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
1,967 |
1,676 |
$4K |
| 90651 |
|
206 |
204 |
$3K |
| 81025 |
|
557 |
385 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
34 |
30 |
$2K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
889 |
729 |
$2K |
| 91320 |
|
12 |
12 |
$885.98 |
| 87210 |
|
295 |
146 |
$826.93 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
41 |
28 |
$611.45 |
| 90480 |
|
15 |
15 |
$269.00 |
| 90633 |
|
26 |
25 |
$266.20 |
| 81003 |
|
166 |
84 |
$179.53 |
| 90713 |
|
12 |
12 |
$121.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
38 |
38 |
$6.80 |