| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99401 |
|
329 |
242 |
$8K |
| 87806 |
|
222 |
146 |
$4K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
34 |
17 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
46 |
32 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
21 |
14 |
$1K |
| 81025 |
|
343 |
181 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
76 |
42 |
$745.56 |
| 87210 |
|
127 |
76 |
$582.80 |
| 83986 |
|
123 |
74 |
$425.92 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
20 |
12 |
$358.40 |