| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
404 |
353 |
$32K |
| 87806 |
|
540 |
497 |
$11K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
215 |
173 |
$10K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
305 |
254 |
$8K |
| 81025 |
|
778 |
659 |
$4K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
14 |
12 |
$1K |
| 87210 |
|
218 |
195 |
$983.32 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
98 |
67 |
$951.57 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
14 |
$714.60 |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
14 |
14 |
$283.95 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
15 |
14 |
$192.62 |