| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,674 |
1,380 |
$115K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
1,529 |
970 |
$88K |
| 99401 |
|
1,944 |
1,413 |
$52K |
| S4993 |
Contraceptive pills for birth control |
569 |
447 |
$22K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
500 |
341 |
$17K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,275 |
761 |
$12K |
| 87806 |
|
343 |
243 |
$7K |
| 81025 |
|
1,518 |
947 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
124 |
82 |
$3K |
| 87210 |
|
266 |
162 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$1K |
| 83986 |
|
266 |
162 |
$876.48 |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
30 |
14 |
$668.65 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
13 |
$615.16 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
13 |
12 |
$21.45 |