| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
1,312 |
1,304 |
$74K |
| S4993 |
Contraceptive pills for birth control |
537 |
532 |
$53K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,397 |
2,208 |
$36K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,103 |
1,076 |
$35K |
| 81025 |
|
5,079 |
4,620 |
$26K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,055 |
1,019 |
$25K |
| 99000 |
|
2,910 |
2,869 |
$24K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
428 |
422 |
$19K |
| A4267 |
Contraceptive supply, condom, male, each |
2,683 |
2,507 |
$14K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,311 |
1,303 |
$13K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
82 |
82 |
$6K |
| 80061 |
Lipid panel |
634 |
621 |
$4K |
| 81002 |
|
1,516 |
1,492 |
$4K |
| 85018 |
|
1,730 |
1,705 |
$3K |
| 87210 |
|
330 |
324 |
$641.34 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
31 |
31 |
$321.99 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$15.68 |