| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
175 |
156 |
$9K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
318 |
265 |
$9K |
| 87806 |
|
282 |
262 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
60 |
48 |
$5K |
| 81025 |
|
381 |
345 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
190 |
169 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
54 |
43 |
$684.50 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16 |
14 |
$573.24 |
| 87210 |
|
100 |
85 |
$465.30 |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
12 |
12 |
$380.95 |