| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
510 |
458 |
$43K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
38 |
37 |
$4K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
41 |
41 |
$3K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
156 |
87 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
149 |
85 |
$1K |
| 81025 |
|
123 |
95 |
$628.53 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
37 |
29 |
$590.64 |
| S4993 |
Contraceptive pills for birth control |
27 |
25 |
$157.10 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
661 |
567 |
$108.08 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
673 |
571 |
$107.90 |