| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0502F |
|
242 |
173 |
$10K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
51 |
42 |
$4K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
20 |
15 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
70 |
49 |
$627.84 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$485.11 |
| 81003 |
|
37 |
36 |
$80.66 |
| 36415 |
Collection of venous blood by venipuncture |
18 |
18 |
$0.00 |