| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0502F |
|
2,119 |
1,264 |
$93K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
386 |
361 |
$22K |
| 99401 |
|
502 |
438 |
$13K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
384 |
261 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
153 |
145 |
$6K |
| S4993 |
Contraceptive pills for birth control |
105 |
97 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
309 |
282 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
71 |
70 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
28 |
27 |
$2K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
34 |
33 |
$1K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
34 |
33 |
$1K |
| 81025 |
|
119 |
111 |
$288.96 |
| 87210 |
|
28 |
28 |
$131.60 |