| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0502F |
|
1,962 |
1,191 |
$86K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,074 |
928 |
$45K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
44 |
39 |
$3K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
12 |
12 |
$998.20 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
29 |
28 |
$790.80 |
| 0503F |
|
13 |
13 |
$651.95 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$621.01 |
| 81003 |
|
154 |
92 |
$337.90 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
39 |
38 |
$333.54 |
| 90686 |
|
13 |
13 |
$247.39 |