| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S4993 |
Contraceptive pills for birth control |
937 |
857 |
$171K |
| 87806 |
|
1,749 |
1,644 |
$49K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
362 |
332 |
$27K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
426 |
417 |
$21K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,053 |
1,003 |
$11K |
| 81025 |
|
1,061 |
977 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
83 |
66 |
$8K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
55 |
55 |
$5K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
38 |
37 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
114 |
112 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
12 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
161 |
148 |
$435.38 |
| 87210 |
|
82 |
41 |
$431.36 |
| 99050 |
|
41 |
41 |
$252.00 |
| 99459 |
|
12 |
12 |
$239.20 |
| 83986 |
|
41 |
41 |
$146.22 |
| A4550 |
Surgical trays |
30 |
27 |
$114.92 |