| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99401 |
|
3,975 |
2,988 |
$105K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
933 |
752 |
$54K |
| 87806 |
|
1,390 |
1,073 |
$26K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
400 |
284 |
$16K |
| 81025 |
|
2,081 |
1,457 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
140 |
109 |
$5K |
| 87210 |
|
1,090 |
813 |
$5K |
| 83986 |
|
1,058 |
783 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
301 |
198 |
$3K |
| S4993 |
Contraceptive pills for birth control |
31 |
26 |
$1K |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
34 |
27 |
$747.56 |
| 99070 |
|
21 |
13 |
$362.00 |