| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0502F |
|
5,203 |
3,769 |
$246K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,608 |
1,362 |
$149K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
1,132 |
893 |
$89K |
| 59430 |
|
579 |
469 |
$55K |
| 0500F |
|
540 |
475 |
$25K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
171 |
143 |
$14K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
328 |
303 |
$13K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
328 |
303 |
$13K |
| 81025 |
|
2,158 |
1,794 |
$11K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
771 |
603 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
75 |
73 |
$7K |
| 90715 |
|
190 |
160 |
$6K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
199 |
180 |
$6K |
| 90686 |
|
262 |
208 |
$6K |
| 87808 |
|
330 |
301 |
$5K |
| H1000 |
Prenatal care, at-risk assessment |
241 |
186 |
$4K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
55 |
41 |
$2K |
| 88142 |
|
73 |
71 |
$2K |
| 81003 |
|
581 |
526 |
$1K |
| 87205 |
|
219 |
205 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
121 |
93 |
$983.20 |
| 86592 |
|
176 |
157 |
$810.70 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
12 |
12 |
$447.22 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17 |
17 |
$440.37 |
| 96127 |
|
27 |
25 |
$393.16 |
| 96160 |
|
85 |
75 |
$350.40 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
39 |
38 |
$338.67 |
| 82950 |
|
53 |
38 |
$266.84 |
| 86780 |
|
18 |
17 |
$246.57 |
| 87088 |
|
14 |
13 |
$115.84 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
398 |
323 |
$39.43 |
| 36415 |
Collection of venous blood by venipuncture |
342 |
294 |
$36.90 |
| 81002 |
|
12 |
12 |
$31.60 |