| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
210 |
206 |
$36K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
255 |
255 |
$15K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
472 |
464 |
$14K |
| 81025 |
|
339 |
325 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
94 |
92 |
$8K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
461 |
453 |
$955.17 |
| 58300 |
|
12 |
12 |
$822.63 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
114 |
114 |
$200.86 |
| 83986 |
|
57 |
56 |
$194.78 |
| 87210 |
|
60 |
58 |
$0.00 |