| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99401 |
|
2,338 |
1,524 |
$63K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
1,087 |
626 |
$48K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
549 |
412 |
$36K |
| S4993 |
Contraceptive pills for birth control |
624 |
405 |
$23K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
495 |
306 |
$16K |
| 87806 |
|
364 |
254 |
$7K |
| 81025 |
|
1,405 |
842 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
549 |
308 |
$5K |
| 58300 |
|
23 |
12 |
$2K |
| 99070 |
|
97 |
53 |
$2K |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
42 |
27 |
$1K |
| 87210 |
|
215 |
126 |
$954.10 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
12 |
$856.30 |
| 83986 |
|
210 |
125 |
$696.96 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
17 |
12 |
$543.35 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
17 |
12 |
$481.60 |