| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
2,044 |
1,759 |
$131K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
492 |
459 |
$26K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
480 |
425 |
$11K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
539 |
521 |
$7K |
| 99385 |
|
96 |
79 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
135 |
125 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
386 |
291 |
$4K |
| 81025 |
|
623 |
551 |
$3K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
199 |
189 |
$2K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
199 |
189 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
42 |
41 |
$2K |
| 87210 |
|
591 |
554 |
$2K |
| 86701 |
|
222 |
203 |
$1K |
| 83986 |
|
332 |
301 |
$720.16 |
| 36415 |
Collection of venous blood by venipuncture |
103 |
91 |
$195.62 |
| 86780 |
|
15 |
15 |
$169.80 |
| 99441 |
|
15 |
15 |
$156.80 |
| 36416 |
|
14 |
14 |
$47.19 |
| 81002 |
|
18 |
15 |
$42.81 |
| 87220 |
|
15 |
13 |
$32.00 |