| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
659 |
579 |
$46K |
| 99401 |
|
1,550 |
1,076 |
$43K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
700 |
561 |
$32K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
607 |
512 |
$26K |
| 87806 |
|
723 |
551 |
$14K |
| 81025 |
|
1,690 |
1,266 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
514 |
394 |
$5K |
| 87210 |
|
340 |
269 |
$2K |
| 83986 |
|
340 |
269 |
$1K |
| 58300 |
|
14 |
13 |
$1K |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
52 |
40 |
$969.91 |
| 85018 |
|
12 |
12 |
$27.84 |