| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99401 |
|
742 |
658 |
$19K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
339 |
281 |
$18K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
84 |
80 |
$6K |
| S4993 |
Contraceptive pills for birth control |
157 |
150 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
318 |
275 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
68 |
54 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
79 |
65 |
$2K |
| 81025 |
|
320 |
281 |
$737.69 |
| 83986 |
|
85 |
78 |
$295.58 |
| 87210 |
|
80 |
77 |
$286.57 |
| 85018 |
|
61 |
60 |
$134.50 |
| 86901 |
|
15 |
15 |
$70.50 |