| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
635 |
545 |
$47K |
| 99401 |
|
1,048 |
743 |
$31K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
704 |
484 |
$28K |
| 87806 |
|
889 |
751 |
$17K |
| 81025 |
|
1,362 |
973 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
120 |
88 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
320 |
184 |
$3K |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
23 |
12 |
$797.20 |
| 87210 |
|
108 |
63 |
$505.25 |
| 83986 |
|
106 |
61 |
$371.36 |
| 85018 |
|
28 |
26 |
$62.64 |