| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,043 |
992 |
$19K |
| S4993 |
Contraceptive pills for birth control |
197 |
193 |
$19K |
| 99000 |
|
527 |
522 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
83 |
83 |
$5K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
63 |
62 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
629 |
538 |
$4K |
| 81025 |
|
652 |
628 |
$4K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
593 |
314 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
133 |
132 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
39 |
39 |
$1K |
| 85018 |
|
401 |
389 |
$778.65 |
| 86701 |
|
59 |
50 |
$231.57 |
| 87210 |
|
29 |
29 |
$141.81 |
| 82948 |
|
378 |
362 |
$63.45 |
| 86592 |
|
60 |
51 |
$21.54 |
| 90688 |
|
21 |
21 |
$0.07 |
| 90734 |
|
183 |
156 |
$0.03 |
| 90696 |
|
51 |
51 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
37 |
28 |
$0.00 |
| 90651 |
|
97 |
86 |
$0.00 |
| 90710 |
|
77 |
70 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
37 |
28 |
$0.00 |
| 90715 |
|
158 |
136 |
$0.00 |
| 90633 |
|
84 |
77 |
$0.00 |