| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
534 |
449 |
$22K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
134 |
122 |
$13K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
211 |
179 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
32 |
26 |
$3K |
| 81025 |
|
201 |
179 |
$1K |
| 90686 |
|
35 |
35 |
$513.72 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
38 |
38 |
$285.48 |
| 0502F |
|
918 |
705 |
$0.00 |
| 0503F |
|
14 |
13 |
$0.00 |