| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
20,919 |
16,355 |
$1.10M |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
477 |
418 |
$336K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
5,941 |
4,745 |
$229K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
9,353 |
7,999 |
$148K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,803 |
4,531 |
$130K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12,783 |
11,257 |
$98K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,665 |
1,293 |
$62K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,393 |
1,485 |
$58K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
2,098 |
1,654 |
$48K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
2,168 |
1,721 |
$45K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
2,164 |
1,721 |
$45K |
| 81025 |
|
10,814 |
8,729 |
$40K |
| G0433 |
Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique, hiv-1 and/or hiv-2, screening |
10,027 |
7,101 |
$38K |
| 86703 |
|
9,630 |
6,969 |
$37K |
| 99201 |
|
1,421 |
1,295 |
$24K |
| 11981 |
|
339 |
298 |
$18K |
| 87210 |
|
9,415 |
6,011 |
$17K |
| 36415 |
Collection of venous blood by venipuncture |
19,766 |
14,195 |
$15K |
| 11982 |
|
166 |
132 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
149 |
135 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
93 |
58 |
$4K |
| 36416 |
|
21,472 |
12,701 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
46 |
40 |
$1K |
| 57454 |
|
14 |
13 |
$963.36 |
| 85018 |
|
538 |
443 |
$821.12 |
| 81002 |
|
459 |
332 |
$546.07 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
187 |
96 |
$285.41 |
| 99000 |
|
21,884 |
12,979 |
$11.50 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
14 |
13 |
$7.54 |
| S0612 |
Annual gynecological examination, established patient |
2,298 |
1,399 |
$0.00 |