| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
356 |
307 |
$29K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
139 |
114 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
150 |
120 |
$7K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
244 |
219 |
$6K |
| 87806 |
|
314 |
290 |
$6K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
64 |
63 |
$5K |
| 0502F |
|
101 |
95 |
$4K |
| 81025 |
|
851 |
716 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
118 |
104 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
12 |
$1K |
| 0500F |
|
24 |
24 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
107 |
99 |
$1K |
| 87210 |
|
120 |
113 |
$549.94 |
| 87510 |
|
18 |
18 |
$471.60 |
| 87480 |
|
18 |
18 |
$471.60 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
12 |
12 |
$366.40 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
12 |
12 |
$366.40 |
| 81003 |
|
166 |
157 |
$359.98 |
| 87660 |
|
18 |
18 |
$302.58 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
14 |
13 |
$180.32 |
| 81002 |
|
41 |
36 |
$96.20 |