| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99401 |
|
2,819 |
1,962 |
$79K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
724 |
574 |
$39K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
1,094 |
757 |
$28K |
| 87806 |
|
1,026 |
794 |
$20K |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
512 |
398 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
197 |
138 |
$8K |
| 81025 |
|
1,881 |
1,385 |
$8K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
18 |
13 |
$7K |
| 87210 |
|
695 |
512 |
$3K |
| 83986 |
|
688 |
509 |
$2K |
| 99070 |
|
115 |
71 |
$2K |
| 11982 |
|
17 |
12 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
169 |
118 |
$2K |
| S4993 |
Contraceptive pills for birth control |
32 |
25 |
$1K |