| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
389 |
325 |
$37K |
| 0502F |
|
442 |
296 |
$30K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
332 |
295 |
$16K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
58 |
43 |
$4K |
| 0503F |
|
39 |
24 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
46 |
40 |
$3K |
| 0500F |
|
32 |
27 |
$2K |
| 81025 |
|
187 |
150 |
$886.58 |
| S4993 |
Contraceptive pills for birth control |
22 |
18 |
$774.98 |
| 87806 |
|
32 |
30 |
$629.12 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
59 |
44 |
$578.79 |
| 90656 |
|
17 |
16 |
$268.11 |