| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
123 |
114 |
$8K |
| 87806 |
|
384 |
351 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
108 |
100 |
$5K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
132 |
122 |
$4K |
| 81025 |
|
424 |
376 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
14 |
14 |
$1K |
| 87210 |
|
151 |
142 |
$697.44 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
32 |
26 |
$294.30 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
19 |
13 |
$234.86 |