| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
304 |
266 |
$24K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
244 |
218 |
$13K |
| 81025 |
|
1,125 |
937 |
$5K |
| 0502F |
|
90 |
79 |
$4K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
36 |
26 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
17 |
14 |
$1K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
16 |
13 |
$402.60 |
| 81003 |
|
14 |
13 |
$35.07 |