| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
978 |
836 |
$54K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
562 |
555 |
$22K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
684 |
678 |
$18K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
684 |
678 |
$18K |
| 81025 |
|
481 |
468 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
154 |
153 |
$3K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
40 |
40 |
$1K |
| 87563 |
|
26 |
26 |
$779.72 |
| 86780 |
|
39 |
39 |
$642.30 |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
75 |
73 |
$589.80 |
| 87210 |
|
75 |
74 |
$386.50 |
| 86803 |
|
13 |
13 |
$271.70 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
85 |
85 |
$0.00 |
| S4993 |
Contraceptive pills for birth control |
13 |
13 |
$0.00 |