| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
4,465 |
4,178 |
$411K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
201 |
186 |
$180K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,584 |
1,499 |
$103K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,064 |
2,007 |
$90K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
4,635 |
4,348 |
$62K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,407 |
1,378 |
$54K |
| 81025 |
|
4,759 |
4,477 |
$31K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,017 |
944 |
$27K |
| 11982 |
|
193 |
187 |
$17K |
| 86703 |
|
827 |
818 |
$10K |
| 11981 |
|
114 |
114 |
$8K |
| 87210 |
|
1,681 |
1,636 |
$7K |
| 82120 |
|
1,681 |
1,636 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
110 |
103 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
66 |
62 |
$5K |
| 83986 |
|
1,692 |
1,645 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
1,128 |
1,082 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
75 |
75 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
21 |
21 |
$1K |
| 99201 |
|
27 |
27 |
$645.20 |
| 90756 |
|
18 |
18 |
$502.17 |
| 81002 |
|
96 |
95 |
$246.13 |