| Code | Description | Total Paid |
|---|
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
$17K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
$9K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
$5K |
| 87806 |
|
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
$3K |
| 81025 |
|
$3K |
| 99443 |
|
$1K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
$1K |
| 99442 |
|
$751.91 |
| S4993 |
Contraceptive pills for birth control |
$673.40 |