| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99401 |
|
1,733 |
1,286 |
$45K |
| 87806 |
|
495 |
361 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
150 |
127 |
$6K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
15 |
13 |
$6K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
114 |
82 |
$5K |
| 58300 |
|
23 |
12 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
175 |
109 |
$2K |
| 81025 |
|
546 |
367 |
$1K |
| 87210 |
|
239 |
178 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19 |
19 |
$935.18 |
| 83986 |
|
239 |
178 |
$816.64 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
13 |
13 |
$503.80 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
18 |
18 |
$461.70 |