| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,416 |
3,644 |
$248K |
| 90837 |
Psychotherapy, 53 minutes with patient |
2,295 |
1,163 |
$237K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,241 |
1,840 |
$202K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,402 |
826 |
$92K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
2,853 |
2,696 |
$76K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
2,854 |
2,696 |
$76K |
| S4993 |
Contraceptive pills for birth control |
1,171 |
985 |
$68K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
1,026 |
1,014 |
$51K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
37 |
37 |
$51K |
| 99384 |
|
597 |
589 |
$46K |
| 99000 |
|
2,979 |
2,712 |
$46K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,637 |
1,409 |
$28K |
| A4267 |
Contraceptive supply, condom, male, each |
4,183 |
3,754 |
$22K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
185 |
181 |
$22K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
590 |
525 |
$17K |
| 90832 |
Psychotherapy, 30 minutes with patient |
190 |
117 |
$10K |
| 84703 |
|
1,661 |
1,473 |
$10K |
| 92551 |
|
1,086 |
1,070 |
$7K |
| 99072 |
|
451 |
344 |
$5K |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
881 |
704 |
$5K |
| 96127 |
|
1,232 |
1,214 |
$4K |
| X5622 |
|
304 |
301 |
$4K |
| G0433 |
Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique, hiv-1 and/or hiv-2, screening |
184 |
182 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
210 |
205 |
$3K |
| 11981 |
|
24 |
24 |
$3K |
| 36416 |
|
445 |
435 |
$2K |
| 99173 |
|
1,085 |
1,070 |
$1K |
| 58300 |
|
13 |
12 |
$1K |
| 85018 |
|
173 |
170 |
$306.27 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
25 |
24 |
$301.32 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
12 |
12 |
$268.70 |
| 36415 |
Collection of venous blood by venipuncture |
26 |
25 |
$67.55 |
| D3910 |
|
46 |
46 |
$29.28 |