| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
741 |
650 |
$28K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
425 |
402 |
$22K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
273 |
223 |
$17K |
| 76830 |
Ultrasound, transvaginal |
61 |
59 |
$2K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
37 |
24 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
73 |
49 |
$726.91 |
| 81025 |
|
63 |
54 |
$322.36 |
| 90686 |
|
17 |
12 |
$317.20 |