| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99401 |
|
941 |
721 |
$25K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
204 |
180 |
$14K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
186 |
141 |
$7K |
| 87806 |
|
363 |
261 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
186 |
130 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
61 |
50 |
$2K |
| 81025 |
|
531 |
354 |
$1K |
| S4993 |
Contraceptive pills for birth control |
32 |
14 |
$948.96 |
| 87210 |
|
202 |
160 |
$874.07 |
| 83986 |
|
198 |
159 |
$693.34 |
| 86901 |
|
116 |
105 |
$540.50 |
| 85018 |
|
189 |
163 |
$431.52 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16 |
12 |
$352.30 |