| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
961 |
789 |
$57K |
| 99401 |
|
1,525 |
1,122 |
$45K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
1,244 |
865 |
$33K |
| 87806 |
|
1,025 |
877 |
$20K |
| 81025 |
|
1,634 |
1,167 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
129 |
97 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
384 |
270 |
$4K |
| 87210 |
|
495 |
398 |
$2K |
| 83986 |
|
369 |
289 |
$1K |
| 99070 |
|
59 |
42 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
13 |
$1K |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
93 |
54 |
$822.73 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
23 |
19 |
$285.22 |