| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99401 |
|
1,818 |
1,366 |
$48K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
178 |
129 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
176 |
143 |
$8K |
| 87806 |
|
391 |
323 |
$7K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
63 |
40 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
211 |
138 |
$2K |
| 81025 |
|
634 |
410 |
$2K |
| 87210 |
|
142 |
117 |
$643.90 |
| 83986 |
|
126 |
105 |
$440.00 |
| S4993 |
Contraceptive pills for birth control |
14 |
14 |
$403.20 |
| 85018 |
|
44 |
24 |
$102.08 |