| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,626 |
1,579 |
$125K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
2,797 |
2,773 |
$83K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
2,799 |
2,774 |
$83K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
790 |
787 |
$44K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,116 |
1,100 |
$43K |
| 81025 |
|
1,881 |
1,835 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
92 |
90 |
$13K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
116 |
116 |
$11K |
| 88142 |
|
329 |
329 |
$6K |
| 86703 |
|
372 |
371 |
$4K |
| J3490 |
Unclassified drugs |
150 |
123 |
$4K |
| 87210 |
|
586 |
562 |
$3K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
65 |
65 |
$2K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
39 |
39 |
$1K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
38 |
38 |
$1K |
| 99402 |
|
13 |
13 |
$904.41 |
| 99401 |
|
25 |
24 |
$720.58 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$682.18 |
| S4993 |
Contraceptive pills for birth control |
12 |
12 |
$366.57 |
| 86803 |
|
12 |
12 |
$151.56 |