| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
151 |
134 |
$11K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
221 |
165 |
$8K |
| 87806 |
|
90 |
88 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
143 |
107 |
$1K |
| 81025 |
|
269 |
215 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14 |
13 |
$561.61 |