| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,574 |
4,321 |
$250K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
978 |
977 |
$80K |
| 99402 |
|
1,174 |
980 |
$72K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
5,659 |
5,576 |
$57K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
5,654 |
5,573 |
$57K |
| 84703 |
|
3,776 |
3,615 |
$28K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,244 |
1,160 |
$28K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
654 |
633 |
$22K |
| 86703 |
|
949 |
941 |
$10K |
| 99201 |
|
215 |
215 |
$9K |
| 90632 |
|
229 |
193 |
$8K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
212 |
212 |
$6K |
| 90746 |
|
195 |
167 |
$5K |
| S4993 |
Contraceptive pills for birth control |
949 |
865 |
$4K |
| 87210 |
|
914 |
899 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
251 |
213 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
27 |
26 |
$2K |
| 90734 |
|
55 |
31 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
30 |
30 |
$2K |
| J3490 |
Unclassified drugs |
157 |
103 |
$2K |
| 81002 |
|
212 |
209 |
$558.56 |
| 88142 |
|
15 |
15 |
$202.50 |