| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
520 |
415 |
$17K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
128 |
103 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
500 |
341 |
$5K |
| 87806 |
|
168 |
158 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
41 |
40 |
$3K |
| 81025 |
|
519 |
402 |
$3K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
14 |
13 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
13 |
$573.24 |