| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99401 |
|
4,264 |
3,130 |
$112K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,100 |
996 |
$68K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
1,352 |
995 |
$67K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
747 |
583 |
$27K |
| 87806 |
|
1,018 |
858 |
$19K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
253 |
218 |
$18K |
| S4993 |
Contraceptive pills for birth control |
568 |
422 |
$16K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,383 |
980 |
$13K |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
787 |
524 |
$11K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
22 |
14 |
$10K |
| 81025 |
|
2,471 |
1,751 |
$7K |
| 76830 |
Ultrasound, transvaginal |
99 |
94 |
$6K |
| 87210 |
|
757 |
612 |
$3K |
| 83986 |
|
746 |
608 |
$3K |
| 11981 |
|
20 |
12 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
37 |
31 |
$893.55 |
| 85018 |
|
214 |
176 |
$449.52 |
| 86901 |
|
96 |
90 |
$441.80 |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
13 |
12 |
$219.28 |