| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,368 |
3,760 |
$282K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,836 |
5,104 |
$270K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
1,679 |
1,494 |
$108K |
| 76830 |
Ultrasound, transvaginal |
471 |
425 |
$41K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,134 |
1,894 |
$20K |
| 81025 |
|
2,898 |
2,593 |
$18K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
2,546 |
2,222 |
$13K |
| 99459 |
|
683 |
616 |
$9K |
| 81002 |
|
1,618 |
1,462 |
$4K |
| 87210 |
|
811 |
741 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
55 |
51 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
13 |
$1K |
| 85018 |
|
112 |
97 |
$234.62 |