| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 81025 |
|
29,082 |
18,342 |
$732K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,706 |
6,355 |
$669K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
13,949 |
11,361 |
$492K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
8,647 |
8,582 |
$364K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
10,616 |
10,146 |
$315K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
3,042 |
3,011 |
$296K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,701 |
2,514 |
$277K |
| 88142 |
|
5,308 |
2,678 |
$214K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
903 |
899 |
$107K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
7,484 |
7,408 |
$94K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
686 |
667 |
$65K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
436 |
436 |
$54K |
| 36416 |
|
1,456 |
1,435 |
$46K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
1,669 |
1,522 |
$32K |
| 86703 |
|
2,218 |
2,168 |
$31K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
1,065 |
866 |
$31K |
| 87210 |
|
3,934 |
3,169 |
$25K |
| 86780 |
|
2,046 |
1,740 |
$24K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
909 |
865 |
$16K |
| 87510 |
|
1,238 |
1,072 |
$11K |
| 87806 |
|
567 |
526 |
$10K |
| 85018 |
|
2,391 |
1,754 |
$8K |
| 58301 |
|
99 |
36 |
$7K |
| 36415 |
Collection of venous blood by venipuncture |
1,126 |
1,108 |
$6K |
| 87660 |
|
1,099 |
1,071 |
$5K |
| 87480 |
|
1,021 |
997 |
$5K |
| 81002 |
|
4,343 |
4,081 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
38 |
38 |
$4K |
| 58300 |
|
36 |
12 |
$2K |
| S4993 |
Contraceptive pills for birth control |
194 |
162 |
$1K |
| Q0144 |
Azithromycin dihydrate, oral, capsules/powder, 1 gram |
183 |
99 |
$1K |
| 99051 |
|
39 |
39 |
$395.36 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
452 |
450 |
$363.24 |
| G0433 |
Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique, hiv-1 and/or hiv-2, screening |
20 |
17 |
$303.81 |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
12 |
12 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
49 |
49 |
$0.00 |