| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
566 |
517 |
$38K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
171 |
161 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
115 |
112 |
$9K |
| 87210 |
|
620 |
576 |
$4K |
| 81025 |
|
327 |
287 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
44 |
38 |
$1K |
| S4993 |
Contraceptive pills for birth control |
67 |
65 |
$749.16 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
81 |
69 |
$272.84 |
| 81003 |
|
31 |
31 |
$104.76 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
63 |
57 |
$82.51 |