| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
390 |
336 |
$24K |
| 87806 |
|
452 |
396 |
$9K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
329 |
254 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
105 |
91 |
$4K |
| 81025 |
|
661 |
540 |
$3K |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
100 |
94 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
94 |
68 |
$912.33 |
| 87210 |
|
209 |
183 |
$853.05 |
| 99070 |
|
17 |
17 |
$362.00 |
| 83986 |
|
110 |
96 |
$293.92 |