| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,030 |
989 |
$89K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
229 |
219 |
$31K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
243 |
240 |
$11K |
| 81025 |
|
1,255 |
1,206 |
$9K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
226 |
224 |
$6K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
194 |
192 |
$5K |
| 86703 |
|
375 |
369 |
$4K |
| 86803 |
|
244 |
241 |
$3K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
99 |
99 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
14 |
$3K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
53 |
53 |
$2K |
| 87210 |
|
345 |
337 |
$2K |
| J3490 |
Unclassified drugs |
21 |
15 |
$429.61 |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
12 |
12 |
$371.40 |
| 88142 |
|
14 |
14 |
$232.31 |
| 81002 |
|
13 |
12 |
$38.91 |