| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,864 |
1,598 |
$206K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,054 |
883 |
$178K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,961 |
1,729 |
$52K |
| J3490 |
Unclassified drugs |
251 |
217 |
$20K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
15 |
15 |
$13K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
676 |
676 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
26 |
26 |
$7K |
| 87806 |
|
258 |
129 |
$7K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
96 |
95 |
$6K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
37 |
27 |
$5K |
| A4267 |
Contraceptive supply, condom, male, each |
282 |
282 |
$3K |
| 11981 |
|
15 |
15 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
34 |
34 |
$3K |
| 81025 |
|
834 |
820 |
$2K |
| 86592 |
|
506 |
475 |
$2K |
| 83986 |
|
411 |
373 |
$1K |
| 87210 |
|
292 |
278 |
$887.57 |
| 81000 |
|
372 |
347 |
$862.03 |
| S5199 |
Personal care item, nos, each |
285 |
285 |
$470.25 |