| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
138 |
110 |
$14K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
635 |
521 |
$10K |
| 81025 |
|
1,548 |
1,085 |
$8K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
358 |
292 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
68 |
59 |
$3K |
| 81002 |
|
592 |
406 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15 |
14 |
$1K |
| 87210 |
|
245 |
147 |
$736.24 |
| W7010 |
|
40 |
38 |
$685.20 |
| 36415 |
Collection of venous blood by venipuncture |
108 |
85 |
$173.04 |
| 99408 |
|
1,114 |
576 |
$159.88 |
| 86703 |
|
88 |
68 |
$78.06 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
791 |
441 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,022 |
526 |
$0.00 |
| 86592 |
|
93 |
73 |
$0.00 |
| 99441 |
|
15 |
14 |
$0.00 |