| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
199 |
161 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
88 |
82 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
80 |
69 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
139 |
108 |
$4K |
| 87806 |
|
105 |
93 |
$2K |
| S4993 |
Contraceptive pills for birth control |
37 |
31 |
$2K |
| 81025 |
|
250 |
194 |
$1K |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
22 |
16 |
$804.50 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
54 |
38 |
$531.93 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$403.20 |
| 87210 |
|
16 |
14 |
$75.20 |
| 83986 |
|
16 |
14 |
$56.20 |