| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
2,991 |
2,791 |
$276K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,170 |
1,102 |
$78K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,600 |
1,532 |
$70K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,158 |
2,948 |
$43K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,129 |
1,085 |
$43K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
40 |
36 |
$35K |
| 81025 |
|
3,588 |
3,330 |
$23K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
868 |
791 |
$23K |
| 87210 |
|
1,234 |
1,213 |
$5K |
| 82120 |
|
1,234 |
1,213 |
$5K |
| 86703 |
|
453 |
449 |
$5K |
| 83986 |
|
1,239 |
1,218 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
59 |
59 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
29 |
26 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
735 |
694 |
$2K |
| 11982 |
|
13 |
13 |
$1K |
| 90756 |
|
33 |
33 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
14 |
$880.58 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
46 |
46 |
$683.88 |
| 81002 |
|
85 |
78 |
$218.40 |