| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
191 |
128 |
$12K |
| 99401 |
|
376 |
308 |
$11K |
| S4993 |
Contraceptive pills for birth control |
106 |
105 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
65 |
49 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
41 |
33 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
174 |
115 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
19 |
19 |
$1K |
| 87806 |
|
47 |
32 |
$765.54 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
21 |
17 |
$668.56 |
| 81025 |
|
211 |
158 |
$520.73 |
| 87210 |
|
52 |
47 |
$286.51 |
| 83986 |
|
52 |
47 |
$182.74 |
| 86901 |
|
14 |
14 |
$65.80 |
| 85018 |
|
19 |
18 |
$44.02 |