| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S9430 |
Pharmacy compounding and dispensing services |
644 |
626 |
$47K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
214 |
210 |
$18K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
147 |
143 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
87 |
86 |
$9K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
628 |
618 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
244 |
240 |
$7K |
| S4993 |
Contraceptive pills for birth control |
342 |
288 |
$5K |
| 81025 |
|
380 |
369 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
45 |
44 |
$3K |
| 99385 |
|
31 |
27 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
138 |
133 |
$2K |
| 86703 |
|
118 |
116 |
$1K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
796 |
783 |
$975.14 |
| J3490 |
Unclassified drugs |
27 |
26 |
$172.59 |
| 86780 |
|
12 |
12 |
$95.02 |