| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
431 |
388 |
$36K |
| 0502F |
|
608 |
540 |
$27K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
567 |
522 |
$24K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
241 |
222 |
$20K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
299 |
263 |
$3K |
| 0500F |
|
30 |
30 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
108 |
101 |
$1K |
| 58300 |
|
12 |
12 |
$1K |
| 81025 |
|
212 |
183 |
$505.68 |