| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
896 |
698 |
$55K |
| 99401 |
|
1,955 |
1,410 |
$54K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
1,200 |
899 |
$48K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
609 |
488 |
$26K |
| 87806 |
|
1,067 |
895 |
$21K |
| 58300 |
|
104 |
65 |
$9K |
| 81025 |
|
1,928 |
1,387 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
671 |
502 |
$6K |
| 87210 |
|
887 |
697 |
$4K |
| 83986 |
|
850 |
666 |
$3K |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
78 |
54 |
$2K |
| S4993 |
Contraceptive pills for birth control |
49 |
43 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
17 |
12 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
29 |
26 |
$950.40 |
| 99070 |
|
30 |
21 |
$656.00 |