| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,991 |
3,678 |
$229K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,571 |
1,562 |
$116K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,212 |
1,211 |
$102K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
711 |
711 |
$56K |
| 99406 |
|
544 |
521 |
$6K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
89 |
89 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
218 |
218 |
$2K |
| 82274 |
|
593 |
593 |
$2K |
| 99441 |
|
53 |
50 |
$2K |
| 81025 |
|
131 |
127 |
$252.26 |
| 99080 |
|
536 |
527 |
$0.00 |