| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0502F |
|
1,739 |
1,375 |
$87K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
436 |
340 |
$33K |
| 0500F |
|
106 |
94 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
61 |
45 |
$4K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
61 |
51 |
$2K |
| 96127 |
|
151 |
118 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
169 |
103 |
$2K |
| 90686 |
|
63 |
60 |
$651.59 |
| 81025 |
|
13 |
12 |
$30.96 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
30 |
20 |
$0.00 |