| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99401 |
|
1,693 |
1,085 |
$46K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
628 |
364 |
$31K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
386 |
259 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
104 |
83 |
$7K |
| 87806 |
|
347 |
249 |
$7K |
| S4993 |
Contraceptive pills for birth control |
118 |
87 |
$5K |
| 81025 |
|
837 |
518 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
271 |
165 |
$3K |
| 99070 |
|
30 |
27 |
$385.00 |
| 87210 |
|
39 |
26 |
$178.60 |
| 83986 |
|
39 |
26 |
$133.76 |