| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0502F |
|
5,587 |
3,299 |
$261K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,159 |
2,423 |
$190K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
937 |
896 |
$78K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
1,107 |
837 |
$69K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
622 |
380 |
$40K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
34 |
32 |
$32K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,375 |
972 |
$13K |
| 0500F |
|
229 |
224 |
$12K |
| 81025 |
|
1,754 |
1,326 |
$8K |
| 59430 |
|
31 |
25 |
$5K |
| 59025 |
Fetal non-stress test |
619 |
515 |
$5K |
| 0503F |
|
68 |
42 |
$4K |