| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,370 |
2,938 |
$197K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
3,312 |
3,204 |
$112K |
| S4993 |
Contraceptive pills for birth control |
916 |
901 |
$68K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
2,771 |
2,570 |
$65K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
2,767 |
2,568 |
$65K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
914 |
898 |
$38K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
684 |
677 |
$14K |
| 81025 |
|
961 |
939 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
86 |
84 |
$8K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
63 |
63 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
169 |
165 |
$5K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
153 |
153 |
$4K |
| 86780 |
|
183 |
180 |
$3K |
| 87563 |
|
77 |
74 |
$3K |
| 87660 |
|
82 |
80 |
$2K |
| 87480 |
|
81 |
79 |
$2K |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
237 |
234 |
$1K |
| 87510 |
|
81 |
79 |
$1K |
| 87210 |
|
276 |
267 |
$1K |
| S9470 |
Nutritional counseling, dietitian visit |
12 |
12 |
$192.00 |
| 99406 |
|
15 |
15 |
$26.19 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
350 |
330 |
$0.00 |