| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,680 |
1,420 |
$103K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
2,437 |
1,939 |
$98K |
| 99401 |
|
3,221 |
2,287 |
$88K |
| 87806 |
|
3,321 |
2,703 |
$65K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
754 |
595 |
$31K |
| S4993 |
Contraceptive pills for birth control |
649 |
531 |
$22K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,719 |
1,284 |
$16K |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
804 |
612 |
$15K |
| 81025 |
|
3,474 |
2,655 |
$15K |
| 87210 |
|
1,447 |
1,180 |
$7K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
14 |
12 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
69 |
54 |
$5K |
| 83986 |
|
1,233 |
996 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
31 |
25 |
$2K |
| 99070 |
|
77 |
50 |
$1K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
18 |
14 |
$1K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
17 |
17 |
$680.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
18 |
13 |
$531.20 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
12 |
$427.70 |
| 81002 |
|
12 |
12 |
$31.20 |