| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
7,359 |
6,959 |
$319K |
| 81025 |
|
5,641 |
5,439 |
$199K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,258 |
2,189 |
$176K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
327 |
317 |
$174K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,869 |
2,801 |
$138K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
3,317 |
3,261 |
$123K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,486 |
1,462 |
$71K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
7,359 |
6,959 |
$39K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
339 |
331 |
$22K |
| J7297 |
Levonorgestrel-releasing intrauterine contraceptive system (liletta), 52 mg |
66 |
65 |
$22K |
| 58300 |
|
352 |
349 |
$17K |
| 11981 |
|
178 |
175 |
$17K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
677 |
653 |
$12K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,228 |
2,154 |
$10K |
| 11982 |
|
107 |
105 |
$7K |
| 86703 |
|
858 |
837 |
$6K |
| 58301 |
|
111 |
108 |
$6K |
| 99201 |
|
110 |
109 |
$5K |
| 83986 |
|
1,572 |
1,532 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
13 |
$4K |
| J3490 |
Unclassified drugs |
137 |
129 |
$3K |
| 87210 |
|
1,857 |
1,811 |
$2K |
| 99000 |
|
461 |
457 |
$313.29 |
| 81002 |
|
145 |
143 |
$263.26 |
| 87390 |
|
55 |
55 |
$170.51 |
| 36415 |
Collection of venous blood by venipuncture |
132 |
130 |
$110.08 |
| 86592 |
|
52 |
52 |
$83.34 |
| Q0144 |
Azithromycin dihydrate, oral, capsules/powder, 1 gram |
14 |
14 |
$69.47 |