| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,037 |
1,026 |
$73K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
2,207 |
2,206 |
$48K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
361 |
360 |
$36K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,651 |
1,636 |
$33K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
173 |
173 |
$27K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,605 |
1,604 |
$24K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
184 |
184 |
$21K |
| 81025 |
|
3,688 |
3,610 |
$13K |
| T1001 |
Nursing assessment / evaluation |
266 |
265 |
$12K |
| S4993 |
Contraceptive pills for birth control |
543 |
521 |
$6K |
| A4267 |
Contraceptive supply, condom, male, each |
2,561 |
2,521 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
85 |
85 |
$372.84 |
| 87210 |
|
12 |
12 |
$55.49 |