| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99401 |
|
3,815 |
2,818 |
$107K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
1,071 |
740 |
$54K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
93 |
53 |
$41K |
| S4993 |
Contraceptive pills for birth control |
793 |
717 |
$30K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
200 |
167 |
$14K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,110 |
699 |
$11K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
334 |
282 |
$10K |
| 11981 |
|
81 |
39 |
$6K |
| 81025 |
|
1,362 |
935 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
71 |
55 |
$3K |
| 87806 |
|
144 |
124 |
$3K |
| 58300 |
|
18 |
14 |
$2K |
| 87210 |
|
338 |
279 |
$2K |
| 83986 |
|
361 |
293 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
31 |
14 |
$763.90 |
| 86901 |
|
134 |
128 |
$620.40 |
| 85018 |
|
262 |
218 |
$586.57 |