| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
207 |
119 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
168 |
121 |
$11K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
155 |
92 |
$4K |
| 99401 |
|
126 |
87 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
216 |
126 |
$2K |
| 87806 |
|
61 |
48 |
$1K |
| 81025 |
|
265 |
158 |
$890.96 |
| S4993 |
Contraceptive pills for birth control |
20 |
17 |
$778.96 |
| 87210 |
|
79 |
46 |
$328.87 |
| 83986 |
|
76 |
46 |
$235.74 |