| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99401 |
|
3,301 |
2,372 |
$85K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
760 |
608 |
$43K |
| 87806 |
|
1,107 |
845 |
$21K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
234 |
135 |
$10K |
| 81025 |
|
1,581 |
1,092 |
$6K |
| 87210 |
|
867 |
635 |
$4K |
| 83986 |
|
872 |
636 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
242 |
141 |
$2K |
| S4993 |
Contraceptive pills for birth control |
65 |
52 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
31 |
26 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
25 |
13 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
29 |
25 |
$1K |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
17 |
12 |
$370.72 |