| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,810 |
1,725 |
$139K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,207 |
1,194 |
$60K |
| 99402 |
|
882 |
879 |
$59K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
544 |
542 |
$28K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,028 |
1,016 |
$27K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,023 |
1,009 |
$27K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
177 |
172 |
$22K |
| 86703 |
|
1,653 |
1,647 |
$19K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
136 |
136 |
$18K |
| 81025 |
|
1,918 |
1,863 |
$13K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
439 |
435 |
$13K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
192 |
192 |
$11K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
367 |
362 |
$11K |
| 86803 |
|
711 |
708 |
$9K |
| 87210 |
|
1,181 |
1,151 |
$5K |
| 88142 |
|
204 |
204 |
$4K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
99 |
99 |
$3K |
| J3490 |
Unclassified drugs |
59 |
52 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$1K |
| S4993 |
Contraceptive pills for birth control |
12 |
12 |
$365.64 |
| 81002 |
|
13 |
12 |
$37.29 |
| 36415 |
Collection of venous blood by venipuncture |
136 |
135 |
$2.22 |