| Code | Description | Claims | Beneficiaries | Total Paid |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
1,199 |
1,133 |
$78K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
998 |
928 |
$72K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
754 |
708 |
$36K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
13 |
13 |
$21K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
974 |
922 |
$15K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
88 |
85 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
191 |
178 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,290 |
1,811 |
$3K |
| 90715 |
|
79 |
77 |
$2K |
| 81025 |
|
263 |
254 |
$2K |
| 90686 |
|
84 |
75 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
12 |
$1K |
| 90656 |
|
60 |
57 |
$960.99 |