| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99401 |
|
1,036 |
803 |
$28K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
439 |
312 |
$18K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
215 |
193 |
$15K |
| 76830 |
Ultrasound, transvaginal |
189 |
173 |
$13K |
| 87806 |
|
291 |
254 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
439 |
308 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
58 |
52 |
$1K |
| 81025 |
|
262 |
181 |
$644.16 |
| 87210 |
|
86 |
77 |
$381.87 |
| 83986 |
|
102 |
89 |
$331.45 |
| 86901 |
|
69 |
64 |
$319.60 |
| 85018 |
|
125 |
106 |
$283.04 |