| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
7,015 |
5,853 |
$388K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
6,605 |
5,030 |
$242K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,648 |
4,665 |
$141K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,296 |
4,627 |
$86K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,310 |
1,853 |
$78K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,816 |
1,366 |
$32K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,819 |
1,366 |
$32K |
| 81025 |
|
8,181 |
6,676 |
$31K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,731 |
3,304 |
$29K |
| G0433 |
Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique, hiv-1 and/or hiv-2, screening |
4,552 |
3,530 |
$26K |
| 86703 |
|
7,596 |
5,536 |
$25K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
927 |
777 |
$24K |
| 87210 |
|
9,331 |
5,000 |
$20K |
| 99201 |
|
1,105 |
970 |
$18K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
282 |
237 |
$15K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
395 |
314 |
$15K |
| 36415 |
Collection of venous blood by venipuncture |
14,382 |
10,454 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
128 |
107 |
$5K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
101 |
74 |
$3K |
| 81002 |
|
1,011 |
802 |
$1K |
| 36416 |
|
13,395 |
7,669 |
$837.92 |
| 11982 |
|
13 |
13 |
$768.60 |
| 58300 |
|
12 |
12 |
$517.88 |
| 90674 |
|
17 |
15 |
$281.30 |
| 99000 |
|
14,664 |
9,009 |
$11.59 |
| S0612 |
Annual gynecological examination, established patient |
436 |
285 |
$0.00 |