| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99401 |
|
4,620 |
3,778 |
$130K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
1,643 |
1,355 |
$80K |
| S4993 |
Contraceptive pills for birth control |
981 |
916 |
$38K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
482 |
411 |
$17K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,611 |
1,225 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
232 |
214 |
$12K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
15 |
12 |
$6K |
| 81025 |
|
1,803 |
1,423 |
$5K |
| 87806 |
|
252 |
231 |
$5K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
61 |
49 |
$4K |
| 58300 |
|
26 |
25 |
$2K |
| 11981 |
|
17 |
13 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
42 |
38 |
$1K |
| 87210 |
|
294 |
274 |
$1K |
| 83986 |
|
291 |
271 |
$1K |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
22 |
17 |
$272.78 |
| 86901 |
|
64 |
59 |
$267.90 |
| 85018 |
|
106 |
92 |
$208.68 |