| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,588 |
3,472 |
$338K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,730 |
4,620 |
$303K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
317 |
314 |
$146K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
3,929 |
3,534 |
$114K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
3,880 |
3,499 |
$112K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,826 |
1,283 |
$99K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
1,563 |
1,555 |
$76K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
598 |
597 |
$63K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,194 |
1,172 |
$58K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
376 |
374 |
$34K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
506 |
500 |
$30K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,494 |
1,469 |
$28K |
| 11981 |
|
230 |
226 |
$24K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
1,100 |
1,086 |
$23K |
| 58300 |
|
306 |
295 |
$23K |
| 87806 |
|
915 |
904 |
$21K |
| 11982 |
|
118 |
118 |
$14K |
| 81025 |
|
1,926 |
1,881 |
$13K |
| 87210 |
|
2,350 |
2,295 |
$10K |
| 99402 |
|
143 |
143 |
$8K |
| 99401 |
|
444 |
439 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
26 |
26 |
$5K |
| J3490 |
Unclassified drugs |
379 |
363 |
$4K |
| 86901 |
|
408 |
399 |
$2K |
| 85018 |
|
518 |
496 |
$1K |
| 58301 |
|
13 |
13 |
$1K |
| 87808 |
|
98 |
97 |
$1K |
| 83986 |
|
247 |
241 |
$576.89 |
| 81002 |
|
234 |
228 |
$573.56 |
| 36415 |
Collection of venous blood by venipuncture |
1,475 |
1,432 |
$395.90 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
99 |
96 |
$275.60 |
| 99000 |
|
1,311 |
1,285 |
$59.20 |
| 36416 |
|
1,541 |
1,518 |
$56.30 |