| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59425 |
|
7,919 |
5,769 |
$474K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,725 |
2,493 |
$127K |
| 99215 |
Prolong outpt/office vis |
795 |
774 |
$81K |
| 0500F |
|
987 |
984 |
$76K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
603 |
601 |
$45K |
| 59430 |
|
569 |
543 |
$39K |
| 3351F |
|
416 |
414 |
$31K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
715 |
665 |
$22K |
| 88141 |
|
336 |
192 |
$17K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
117 |
117 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
115 |
115 |
$8K |
| 3353F |
|
103 |
103 |
$8K |
| 99000 |
|
1,783 |
1,751 |
$6K |
| 81025 |
|
1,769 |
1,685 |
$5K |
| 81003 |
|
1,834 |
1,432 |
$4K |
| 90686 |
|
160 |
159 |
$3K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
27 |
27 |
$2K |
| 90715 |
|
13 |
12 |
$953.20 |
| 90674 |
|
31 |
31 |
$852.81 |
| 0502F |
|
6,219 |
4,503 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
43 |
42 |
$0.00 |
| 3078F |
|
617 |
500 |
$0.00 |
| 3077F |
|
20 |
20 |
$0.00 |
| 3074F |
|
620 |
497 |
$0.00 |
| 3079F |
|
52 |
50 |
$0.00 |
| 3075F |
|
64 |
61 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
880 |
880 |
$0.00 |
| 0503F |
|
14 |
14 |
$0.00 |