| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
4,832 |
4,554 |
$446K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,896 |
2,784 |
$191K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,627 |
3,453 |
$158K |
| S4993 |
Contraceptive pills for birth control |
1,322 |
1,255 |
$93K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
5,185 |
4,882 |
$73K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,949 |
1,833 |
$53K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,188 |
1,129 |
$45K |
| 81025 |
|
5,834 |
5,502 |
$38K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
467 |
447 |
$27K |
| 86703 |
|
2,037 |
1,969 |
$24K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
24 |
24 |
$23K |
| 87210 |
|
4,532 |
4,324 |
$20K |
| 82120 |
|
4,530 |
4,322 |
$20K |
| 83986 |
|
4,560 |
4,351 |
$14K |
| 81002 |
|
988 |
958 |
$3K |
| 99201 |
|
51 |
51 |
$1K |
| 11982 |
|
12 |
12 |
$1K |
| 58300 |
|
13 |
13 |
$692.56 |
| 90661 |
|
13 |
13 |
$462.44 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$162.55 |
| 36416 |
|
184 |
173 |
$21.96 |