| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0502F |
|
1,923 |
1,274 |
$89K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
166 |
148 |
$8K |
| 59025 |
Fetal non-stress test |
96 |
55 |
$3K |
| 0500F |
|
32 |
26 |
$1K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
64 |
62 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
128 |
91 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
14 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
116 |
106 |
$12.30 |