| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 81513 |
|
278 |
277 |
$32K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,127 |
1,068 |
$32K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
637 |
635 |
$17K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
637 |
635 |
$17K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
144 |
143 |
$10K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
278 |
277 |
$8K |
| 84703 |
|
739 |
711 |
$4K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
60 |
60 |
$4K |
| 88142 |
|
157 |
157 |
$2K |
| 76830 |
Ultrasound, transvaginal |
41 |
41 |
$2K |
| 84443 |
Thyroid stimulating hormone (TSH) |
101 |
101 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
88 |
87 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
25 |
25 |
$953.58 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
73 |
71 |
$717.02 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
51 |
51 |
$687.82 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
41 |
41 |
$678.04 |
| 87800 |
|
12 |
12 |
$440.16 |
| 85027 |
|
76 |
76 |
$412.68 |
| 86780 |
|
50 |
50 |
$366.96 |
| 90686 |
|
12 |
12 |
$231.12 |
| 80053 |
Comprehensive metabolic panel |
25 |
25 |
$217.82 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
22 |
22 |
$200.97 |
| 81003 |
|
67 |
67 |
$124.74 |
| 87481 |
|
220 |
219 |
$0.00 |
| 1160F |
|
256 |
237 |
$0.00 |
| 3078F |
|
257 |
232 |
$0.00 |
| 1036F |
|
150 |
138 |
$0.00 |
| 3008F |
|
332 |
300 |
$0.00 |
| 1000F |
|
296 |
269 |
$0.00 |
| 3044F |
|
127 |
114 |
$0.00 |
| 3075F |
|
30 |
29 |
$0.00 |
| 3074F |
|
223 |
206 |
$0.00 |