| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,121 |
1,070 |
$16K |
| 90651 |
|
229 |
226 |
$3K |
| 90715 |
|
247 |
246 |
$3K |
| 90619 |
|
227 |
225 |
$3K |
| 90734 |
|
163 |
162 |
$2K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
121 |
113 |
$965.40 |
| 99000 |
|
118 |
113 |
$426.48 |
| 90656 |
|
12 |
12 |
$178.55 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
15 |
12 |
$157.82 |
| S4993 |
Contraceptive pills for birth control |
15 |
13 |
$87.81 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
72 |
72 |
$81.60 |
| 36415 |
Collection of venous blood by venipuncture |
15 |
15 |
$37.47 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
13 |
13 |
$17.00 |