| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
511 |
486 |
$39K |
| S4993 |
Contraceptive pills for birth control |
197 |
189 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
54 |
54 |
$3K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,270 |
1,186 |
$3K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
903 |
846 |
$2K |
| 0353U |
|
29 |
27 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
20 |
19 |
$2K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
15 |
15 |
$630.72 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
30 |
28 |
$614.28 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
12 |
$255.84 |
| 87806 |
|
12 |
12 |
$240.00 |
| 86780 |
|
12 |
12 |
$145.64 |
| 86701 |
|
12 |
12 |
$0.00 |