| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
4,060 |
3,613 |
$508K |
| J7298 |
Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg |
168 |
167 |
$118K |
| S4993 |
Contraceptive pills for birth control |
3,525 |
3,345 |
$81K |
| S4930 |
|
3,376 |
3,252 |
$34K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
707 |
570 |
$28K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
1,188 |
1,183 |
$23K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
171 |
154 |
$13K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
474 |
431 |
$7K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
253 |
202 |
$5K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
254 |
202 |
$5K |
| 91322 |
|
33 |
33 |
$4K |
| 90686 |
|
188 |
180 |
$3K |
| 90480 |
|
62 |
61 |
$2K |
| 90619 |
|
13 |
13 |
$2K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
15 |
15 |
$2K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
12 |
12 |
$877.02 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
35 |
33 |
$427.70 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
16 |
16 |
$422.30 |
| 99442 |
|
13 |
12 |
$254.12 |
| 86703 |
|
30 |
26 |
$192.00 |
| 87806 |
|
14 |
13 |
$183.52 |
| 36415 |
Collection of venous blood by venipuncture |
100 |
67 |
$131.00 |
| 86735 |
|
25 |
13 |
$101.52 |
| 86765 |
|
25 |
13 |
$48.15 |
| 86787 |
|
20 |
15 |
$31.43 |
| 86762 |
|
24 |
12 |
$28.64 |