| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
639 |
457 |
$54K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,086 |
832 |
$47K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
555 |
378 |
$45K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
716 |
442 |
$7K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
42 |
37 |
$4K |
| 81025 |
|
868 |
530 |
$2K |
| 87905 |
|
42 |
26 |
$516.24 |