| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
432 |
426 |
$35K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
541 |
511 |
$32K |
| 99403 |
|
334 |
328 |
$19K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
369 |
339 |
$15K |
| A4268 |
Contraceptive supply, condom, female, each |
634 |
605 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
51 |
50 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
160 |
158 |
$2K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
124 |
119 |
$2K |
| S4993 |
Contraceptive pills for birth control |
52 |
49 |
$1K |
| 81025 |
|
184 |
171 |
$1K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
321 |
310 |
$640.00 |
| 87210 |
|
148 |
144 |
$611.99 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
300 |
288 |
$460.00 |