| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99401 |
|
1,670 |
1,259 |
$43K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
408 |
343 |
$28K |
| 87806 |
|
665 |
520 |
$13K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
94 |
59 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
52 |
49 |
$2K |
| S4993 |
Contraceptive pills for birth control |
69 |
49 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
46 |
40 |
$2K |
| 81025 |
|
685 |
491 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
139 |
88 |
$1K |
| 86901 |
|
259 |
244 |
$1K |
| 87210 |
|
204 |
163 |
$893.00 |
| 85018 |
|
324 |
265 |
$702.96 |
| 83986 |
|
200 |
162 |
$696.96 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$303.60 |