| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
684 |
626 |
$47K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,000 |
919 |
$38K |
| 87806 |
|
362 |
320 |
$8K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
240 |
205 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
40 |
36 |
$2K |
| 81025 |
|
373 |
325 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
127 |
114 |
$1K |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
12 |
12 |
$406.10 |
| 87210 |
|
52 |
52 |
$239.70 |
| 85018 |
|
100 |
87 |
$227.98 |