| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
3,313 |
3,243 |
$309K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,189 |
3,101 |
$207K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,978 |
1,938 |
$85K |
| S4993 |
Contraceptive pills for birth control |
1,752 |
1,664 |
$84K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,800 |
1,762 |
$49K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,519 |
3,425 |
$49K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
873 |
861 |
$33K |
| 81025 |
|
5,121 |
4,967 |
$33K |
| 86703 |
|
1,779 |
1,756 |
$19K |
| 87210 |
|
3,913 |
3,794 |
$17K |
| 82120 |
|
3,908 |
3,795 |
$16K |
| 83986 |
|
3,909 |
3,792 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
41 |
41 |
$3K |
| 81002 |
|
816 |
798 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
27 |
27 |
$2K |
| 11982 |
|
12 |
12 |
$1K |
| 99201 |
|
14 |
14 |
$345.04 |
| 36415 |
Collection of venous blood by venipuncture |
44 |
43 |
$93.85 |
| 36416 |
|
34 |
33 |
$3.63 |
| G0433 |
Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique, hiv-1 and/or hiv-2, screening |
39 |
39 |
$0.00 |