| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99401 |
|
6,576 |
4,739 |
$174K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
3,795 |
2,675 |
$170K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,393 |
1,235 |
$107K |
| S4993 |
Contraceptive pills for birth control |
1,379 |
1,129 |
$53K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,028 |
792 |
$47K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,849 |
1,824 |
$27K |
| 87806 |
|
1,309 |
1,147 |
$26K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
282 |
234 |
$20K |
| 81025 |
|
3,658 |
2,575 |
$15K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
12 |
12 |
$13K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
121 |
118 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
141 |
132 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
159 |
120 |
$4K |
| 76830 |
Ultrasound, transvaginal |
49 |
43 |
$3K |
| 87210 |
|
599 |
480 |
$3K |
| 83986 |
|
439 |
338 |
$2K |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
24 |
24 |
$1K |
| 85018 |
|
321 |
275 |
$717.98 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
17 |
13 |
$566.40 |
| 86901 |
|
110 |
108 |
$517.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
14 |
13 |
$180.32 |