| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
687 |
680 |
$37K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
592 |
547 |
$18K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
120 |
120 |
$10K |
| 81025 |
|
850 |
841 |
$10K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
507 |
507 |
$7K |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
327 |
286 |
$5K |
| 86703 |
|
183 |
183 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
90 |
89 |
$3K |
| 58300 |
|
26 |
26 |
$2K |
| 86803 |
|
40 |
40 |
$835.42 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
13 |
$771.22 |
| 87210 |
|
79 |
78 |
$599.48 |
| 85018 |
|
12 |
12 |
$50.26 |