| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S4993 |
Contraceptive pills for birth control |
1,296 |
1,121 |
$130K |
| 90837 |
Psychotherapy, 53 minutes with patient |
825 |
305 |
$92K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,101 |
980 |
$23K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,228 |
1,145 |
$20K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,203 |
1,139 |
$19K |
| A4267 |
Contraceptive supply, condom, male, each |
2,663 |
2,350 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
103 |
91 |
$9K |
| G0433 |
Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique, hiv-1 and/or hiv-2, screening |
430 |
414 |
$7K |
| S9123 |
Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used) |
74 |
50 |
$7K |
| 81025 |
|
793 |
706 |
$6K |
| 86780 |
|
443 |
427 |
$6K |
| 36416 |
|
470 |
455 |
$1K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
12 |
12 |
$967.10 |
| 99072 |
|
106 |
94 |
$495.84 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
27 |
27 |
$381.90 |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
116 |
75 |
$224.47 |
| 87210 |
|
28 |
25 |
$145.25 |