| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,926 |
1,706 |
$132K |
| S9430 |
Pharmacy compounding and dispensing services |
1,281 |
1,006 |
$41K |
| S4993 |
Contraceptive pills for birth control |
1,084 |
835 |
$20K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
127 |
124 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
45 |
42 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
94 |
89 |
$3K |
| 81025 |
|
237 |
223 |
$2K |
| 99384 |
|
27 |
27 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
112 |
109 |
$685.04 |
| J3490 |
Unclassified drugs |
68 |
63 |
$646.87 |
| 96127 |
|
106 |
87 |
$225.15 |
| A4267 |
Contraceptive supply, condom, male, each |
211 |
190 |
$134.94 |
| 99408 |
|
67 |
55 |
$0.00 |