| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99401 |
|
1,780 |
1,712 |
$53K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
634 |
444 |
$31K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
532 |
436 |
$27K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
759 |
688 |
$25K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
916 |
802 |
$23K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
365 |
333 |
$22K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
305 |
273 |
$14K |
| 86901 |
|
483 |
446 |
$2K |
| 81025 |
|
349 |
288 |
$1K |
| 85018 |
|
453 |
413 |
$817.18 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
13 |
13 |
$647.10 |