| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,007 |
921 |
$27K |
| S4993 |
Contraceptive pills for birth control |
192 |
191 |
$21K |
| 81025 |
|
2,359 |
2,131 |
$15K |
| A4267 |
Contraceptive supply, condom, male, each |
2,066 |
1,778 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
316 |
312 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
628 |
595 |
$11K |
| 99000 |
|
1,106 |
1,085 |
$10K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
49 |
49 |
$3K |
| 81002 |
|
653 |
641 |
$2K |
| 80061 |
Lipid panel |
168 |
167 |
$1K |
| 85018 |
|
611 |
604 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$716.50 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
49 |
49 |
$627.41 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
25 |
25 |
$172.48 |
| 87210 |
|
34 |
32 |
$39.12 |
| 99384 |
|
28 |
28 |
$0.00 |
| 99406 |
|
12 |
12 |
$0.00 |