| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,661 |
1,617 |
$123K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,215 |
1,178 |
$59K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
2,200 |
2,170 |
$57K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
2,201 |
2,171 |
$57K |
| 99402 |
|
708 |
629 |
$49K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
348 |
346 |
$36K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,005 |
951 |
$34K |
| 84703 |
|
1,834 |
1,779 |
$12K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
109 |
109 |
$9K |
| S4993 |
Contraceptive pills for birth control |
795 |
734 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
54 |
54 |
$5K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
189 |
187 |
$4K |
| 87210 |
|
931 |
911 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
24 |
24 |
$2K |
| 99201 |
|
42 |
42 |
$2K |
| J3490 |
Unclassified drugs |
194 |
152 |
$2K |
| 81002 |
|
563 |
559 |
$1K |
| 86703 |
|
122 |
119 |
$1K |