| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99401 |
|
2,606 |
2,473 |
$77K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
1,058 |
823 |
$46K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
735 |
657 |
$45K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
857 |
726 |
$43K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,123 |
973 |
$37K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,154 |
971 |
$29K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
339 |
301 |
$16K |
| 81025 |
|
646 |
524 |
$3K |
| 86901 |
|
666 |
616 |
$3K |
| 85018 |
|
861 |
771 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
13 |
12 |
$934.70 |
| 84702 |
|
18 |
13 |
$81.27 |