| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
272 |
252 |
$230K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
914 |
835 |
$40K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,168 |
1,068 |
$40K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,320 |
1,178 |
$28K |
| 81025 |
|
4,813 |
4,146 |
$27K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
431 |
375 |
$19K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
143 |
131 |
$12K |
| 11981 |
|
172 |
160 |
$9K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,111 |
996 |
$5K |
| 99459 |
|
68 |
66 |
$724.03 |
| Q0111 |
Wet mounts, including preparations of vaginal, cervical or skin specimens |
80 |
76 |
$389.14 |
| 58300 |
|
12 |
12 |
$378.43 |
| 87210 |
|
89 |
83 |
$162.25 |
| 36415 |
Collection of venous blood by venipuncture |
44 |
42 |
$146.26 |