| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
715 |
558 |
$29K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
398 |
330 |
$21K |
| 59425 |
|
152 |
98 |
$8K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
288 |
233 |
$6K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
288 |
233 |
$6K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
136 |
101 |
$5K |
| 81025 |
|
1,109 |
824 |
$5K |
| 76801 |
|
60 |
52 |
$4K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
52 |
41 |
$4K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
158 |
131 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
53 |
43 |
$3K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
85 |
55 |
$1K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
19 |
14 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
117 |
89 |
$692.08 |
| 82947 |
|
261 |
227 |
$611.70 |
| 80061 |
Lipid panel |
44 |
40 |
$372.90 |
| 81001 |
|
103 |
74 |
$175.12 |
| 85014 |
|
107 |
93 |
$174.60 |
| 80305 |
|
28 |
26 |
$166.17 |
| 85018 |
|
76 |
65 |
$127.52 |
| 82950 |
|
12 |
12 |
$45.04 |