| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
860 |
855 |
$55K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,185 |
1,090 |
$26K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
857 |
853 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
439 |
433 |
$7K |
| 99000 |
|
1,377 |
1,318 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
74 |
71 |
$1K |
| A4267 |
Contraceptive supply, condom, male, each |
167 |
163 |
$768.51 |
| 81002 |
|
229 |
228 |
$607.40 |
| H1010 |
Non-medical family planning education, per session |
98 |
94 |
$473.85 |
| S4993 |
Contraceptive pills for birth control |
12 |
12 |
$0.00 |