| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
356 |
284 |
$13K |
| 99408 |
|
367 |
302 |
$8K |
| S4993 |
Contraceptive pills for birth control |
669 |
594 |
$7K |
| 96127 |
|
397 |
329 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
13 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
68 |
67 |
$1K |
| 99201 |
|
29 |
27 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14 |
12 |
$919.36 |
| 99406 |
|
59 |
53 |
$677.77 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
58 |
52 |
$498.79 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
22 |
22 |
$432.37 |
| 81025 |
|
59 |
52 |
$394.03 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
91 |
89 |
$75.80 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
91 |
89 |
$75.80 |