| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
32 |
32 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
398 |
351 |
$943.07 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$706.18 |
| 84703 |
|
76 |
71 |
$637.09 |
| 84443 |
Thyroid stimulating hormone (TSH) |
27 |
27 |
$429.91 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
78 |
63 |
$236.48 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
27 |
26 |
$0.00 |