| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
331 |
280 |
$17K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
117 |
116 |
$10K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
29 |
29 |
$2K |
| 76830 |
Ultrasound, transvaginal |
14 |
14 |
$2K |
| 81025 |
|
211 |
199 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
62 |
61 |
$1K |
| 81002 |
|
253 |
250 |
$768.17 |
| 85018 |
|
213 |
211 |
$593.28 |
| 87210 |
|
71 |
71 |
$370.17 |
| 36415 |
Collection of venous blood by venipuncture |
46 |
46 |
$125.94 |