| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99401 |
|
2,508 |
2,413 |
$74K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
850 |
777 |
$54K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
954 |
798 |
$50K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
1,066 |
797 |
$48K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,152 |
1,025 |
$38K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,273 |
1,079 |
$32K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
469 |
407 |
$21K |
| 86901 |
|
837 |
771 |
$3K |
| 81025 |
|
715 |
585 |
$3K |
| 85018 |
|
996 |
882 |
$2K |