| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99401 |
|
2,404 |
2,306 |
$71K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
686 |
616 |
$27K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
404 |
366 |
$26K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
723 |
560 |
$22K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
273 |
249 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
347 |
310 |
$8K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
213 |
198 |
$7K |
| 86901 |
|
379 |
359 |
$2K |
| 81025 |
|
257 |
221 |
$1K |
| 85018 |
|
547 |
497 |
$1K |
| 84702 |
|
12 |
12 |
$108.36 |