| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59025 |
Fetal non-stress test |
102 |
77 |
$3K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
50 |
39 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
77 |
58 |
$901.04 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$707.97 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14 |
12 |
$569.29 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
52 |
42 |
$364.05 |
| 90686 |
|
30 |
22 |
$305.49 |
| 0502F |
|
1,518 |
1,231 |
$0.00 |
| 0500F |
|
106 |
92 |
$0.00 |
| 0503F |
|
25 |
25 |
$0.00 |