| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
132 |
93 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
66 |
62 |
$6K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
15 |
15 |
$1K |
| 81025 |
|
115 |
102 |
$858.81 |
| 87210 |
|
150 |
140 |
$765.56 |
| 82120 |
|
148 |
139 |
$636.82 |
| 83986 |
|
149 |
140 |
$536.08 |
| 81002 |
|
150 |
106 |
$451.78 |
| 87220 |
|
56 |
55 |
$320.32 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
30 |
28 |
$122.70 |
| 85018 |
|
15 |
12 |
$33.90 |
| 36415 |
Collection of venous blood by venipuncture |
15 |
15 |
$31.59 |