| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0502F |
|
2,331 |
1,374 |
$102K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
457 |
301 |
$34K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
300 |
273 |
$15K |
| 99385 |
|
43 |
43 |
$5K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
42 |
40 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
29 |
29 |
$2K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
34 |
32 |
$1K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
34 |
32 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
82 |
68 |
$745.56 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
33 |
31 |
$703.64 |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
34 |
28 |
$506.21 |
| 90686 |
|
23 |
23 |
$387.17 |
| 81025 |
|
135 |
124 |
$366.46 |
| 85027 |
|
26 |
25 |
$137.76 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
27 |
25 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$0.00 |