| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
3,263 |
3,004 |
$299K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,267 |
3,133 |
$218K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,698 |
2,560 |
$118K |
| S4993 |
Contraceptive pills for birth control |
1,386 |
1,335 |
$88K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,495 |
3,231 |
$48K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,434 |
1,356 |
$38K |
| 81025 |
|
4,604 |
4,292 |
$30K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
760 |
744 |
$30K |
| 86703 |
|
2,211 |
2,117 |
$25K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
244 |
224 |
$21K |
| 87210 |
|
3,935 |
3,773 |
$17K |
| 82120 |
|
3,934 |
3,772 |
$17K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
225 |
212 |
$12K |
| 83986 |
|
3,964 |
3,801 |
$12K |
| 81002 |
|
1,230 |
1,175 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
573 |
500 |
$3K |
| 90756 |
|
26 |
26 |
$767.44 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
28 |
28 |
$564.11 |
| 99201 |
|
12 |
12 |
$272.03 |
| 36416 |
|
73 |
72 |
$3.63 |
| G0433 |
Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique, hiv-1 and/or hiv-2, screening |
30 |
30 |
$0.00 |