| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 81025 |
|
6,564 |
5,483 |
$108K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
1,654 |
1,417 |
$91K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
154 |
107 |
$41K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,307 |
1,032 |
$38K |
| 11981 |
|
106 |
79 |
$24K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
825 |
728 |
$19K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
363 |
295 |
$16K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
197 |
134 |
$11K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,894 |
1,629 |
$6K |
| 99201 |
|
153 |
136 |
$5K |
| J7300 |
Intrauterine copper contraceptive (paragard) |
32 |
12 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
49 |
46 |
$1K |
| Q0111 |
Wet mounts, including preparations of vaginal, cervical or skin specimens |
289 |
229 |
$732.31 |
| 11982 |
|
20 |
13 |
$604.81 |
| 87210 |
|
223 |
173 |
$203.69 |
| 36415 |
Collection of venous blood by venipuncture |
91 |
75 |
$172.39 |
| 58300 |
|
35 |
15 |
$145.77 |