| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
1,101 |
1,084 |
$62K |
| S4993 |
Contraceptive pills for birth control |
484 |
483 |
$42K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,597 |
1,516 |
$42K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,031 |
1,012 |
$38K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,014 |
1,862 |
$34K |
| 81025 |
|
5,533 |
4,858 |
$33K |
| 99000 |
|
3,338 |
3,281 |
$29K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
324 |
324 |
$24K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,098 |
1,082 |
$12K |
| A4267 |
Contraceptive supply, condom, male, each |
2,130 |
1,981 |
$11K |
| 99384 |
|
91 |
91 |
$8K |
| 80061 |
Lipid panel |
695 |
686 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
62 |
59 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
49 |
46 |
$3K |
| 81002 |
|
1,160 |
1,140 |
$3K |
| 85018 |
|
1,559 |
1,537 |
$3K |
| 87210 |
|
346 |
330 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
94 |
89 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
129 |
128 |
$845.74 |
| 90649 |
|
13 |
13 |
$0.00 |