| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,896 |
1,701 |
$65K |
| 81025 |
|
3,283 |
2,883 |
$18K |
| 87210 |
|
2,976 |
2,624 |
$16K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
202 |
196 |
$14K |
| 80305 |
|
1,290 |
1,175 |
$12K |
| 87808 |
|
631 |
580 |
$7K |
| 87905 |
|
666 |
611 |
$7K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
54 |
49 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
15 |
15 |
$942.22 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
41 |
40 |
$467.16 |
| 81002 |
|
226 |
212 |
$388.04 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
12 |
12 |
$0.00 |