| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
240 |
217 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
156 |
142 |
$6K |
| S4993 |
Contraceptive pills for birth control |
99 |
91 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
69 |
67 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
260 |
219 |
$2K |
| 81025 |
|
298 |
247 |
$768.70 |
| 87806 |
|
15 |
13 |
$294.90 |
| 87210 |
|
12 |
12 |
$56.40 |
| 83986 |
|
12 |
12 |
$42.24 |