| Code | Description | Claims | Beneficiaries | Total Paid |
| 0502F |
|
952 |
617 |
$42K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
77 |
69 |
$2K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
15 |
14 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
16 |
15 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
20 |
16 |
$479.55 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
15 |
13 |
$149.11 |
| 81002 |
|
64 |
58 |
$148.28 |
| 81025 |
|
22 |
15 |
$57.15 |