| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99402 |
|
2,128 |
1,552 |
$156K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
568 |
558 |
$68K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
3,828 |
3,646 |
$61K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
677 |
657 |
$50K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
655 |
651 |
$31K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
144 |
144 |
$27K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
228 |
226 |
$21K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
574 |
571 |
$10K |
| S4993 |
Contraceptive pills for birth control |
1,416 |
1,362 |
$8K |
| 86703 |
|
564 |
560 |
$6K |
| 81025 |
|
2,616 |
2,523 |
$3K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
77 |
74 |
$3K |
| 87808 |
|
230 |
227 |
$3K |
| 88142 |
|
198 |
198 |
$3K |
| 87210 |
|
496 |
483 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
74 |
73 |
$2K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
411 |
409 |
$630.28 |
| J3490 |
Unclassified drugs |
326 |
268 |
$421.52 |