| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
1,528 |
1,017 |
$131K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,481 |
1,417 |
$59K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
274 |
265 |
$17K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
236 |
229 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
120 |
120 |
$6K |
| 99429 |
|
12 |
12 |
$3K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
83 |
82 |
$3K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
83 |
82 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
72 |
72 |
$2K |
| 81025 |
|
77 |
76 |
$720.88 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
52 |
51 |
$688.45 |
| 87480 |
|
24 |
24 |
$549.78 |
| 87660 |
|
24 |
24 |
$542.52 |
| 87510 |
|
24 |
24 |
$388.08 |
| G0008 |
Administration of influenza virus vaccine |
13 |
13 |
$132.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
82 |
82 |
$0.00 |