| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
324 |
324 |
$23K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
538 |
512 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
331 |
330 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
492 |
469 |
$8K |
| 81025 |
|
1,063 |
1,027 |
$7K |
| S4993 |
Contraceptive pills for birth control |
72 |
71 |
$7K |
| 99000 |
|
714 |
708 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
108 |
107 |
$6K |
| A4267 |
Contraceptive supply, condom, male, each |
840 |
785 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
324 |
324 |
$4K |
| 81002 |
|
586 |
584 |
$2K |
| 85018 |
|
543 |
541 |
$1K |
| 80061 |
Lipid panel |
96 |
96 |
$752.69 |