| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,140 |
8,505 |
$1.18M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,591 |
4,757 |
$613K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,865 |
2,494 |
$334K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,287 |
1,906 |
$302K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,236 |
1,960 |
$279K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
7,667 |
6,951 |
$236K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,807 |
1,159 |
$179K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
7,642 |
6,923 |
$140K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
4,851 |
4,691 |
$123K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,247 |
1,170 |
$122K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
616 |
615 |
$84K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
5,981 |
5,593 |
$76K |
| 81025 |
|
13,650 |
12,987 |
$53K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
2,275 |
2,222 |
$49K |
| S0190 |
Mifepristone, oral, 200 mg |
705 |
695 |
$33K |
| 88142 |
|
761 |
759 |
$21K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
707 |
706 |
$21K |
| 36415 |
Collection of venous blood by venipuncture |
3,097 |
2,921 |
$20K |
| 11981 |
|
65 |
65 |
$18K |
| 87521 |
Neg quan hep c or qual rna |
579 |
573 |
$12K |
| 88141 |
|
748 |
745 |
$11K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
29 |
29 |
$11K |
| 58300 |
|
42 |
42 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
26 |
26 |
$6K |
| 86703 |
|
357 |
356 |
$4K |
| 11982 |
|
12 |
12 |
$3K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
147 |
147 |
$3K |
| 86901 |
|
67 |
67 |
$2K |
| 87210 |
|
2,749 |
2,676 |
$2K |
| S0191 |
Misoprostol, oral, 200 mcg |
759 |
750 |
$2K |
| 84702 |
|
197 |
137 |
$2K |
| 76830 |
Ultrasound, transvaginal |
13 |
13 |
$2K |
| 83986 |
|
2,634 |
2,575 |
$1K |
| 80076 |
|
51 |
50 |
$1K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
1,914 |
1,889 |
$953.69 |
| 85018 |
|
1,391 |
1,375 |
$469.68 |
| 86780 |
|
781 |
773 |
$388.17 |
| 87660 |
|
1,172 |
1,141 |
$363.60 |
| 87480 |
|
1,540 |
1,499 |
$361.15 |
| 87510 |
|
1,541 |
1,501 |
$331.87 |
| 86592 |
|
1,147 |
1,129 |
$247.32 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
56 |
56 |
$208.56 |
| 86803 |
|
513 |
505 |
$134.30 |
| 99051 |
|
12 |
12 |
$130.32 |
| 82670 |
|
25 |
25 |
$47.83 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
384 |
373 |
$38.76 |
| 81002 |
|
811 |
786 |
$34.93 |