| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,014 |
2,318 |
$453K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,000 |
1,181 |
$189K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
896 |
572 |
$91K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
709 |
453 |
$76K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,719 |
1,691 |
$67K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,718 |
1,690 |
$45K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
353 |
335 |
$35K |
| 76830 |
Ultrasound, transvaginal |
232 |
220 |
$31K |
| 99401 |
|
851 |
849 |
$25K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
864 |
858 |
$17K |
| 86703 |
|
859 |
857 |
$13K |
| S0190 |
Mifepristone, oral, 200 mg |
173 |
170 |
$12K |
| 59841 |
|
16 |
16 |
$10K |
| 58300 |
|
57 |
57 |
$9K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
68 |
68 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
567 |
539 |
$7K |
| 88142 |
|
258 |
258 |
$7K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
154 |
154 |
$4K |
| 11981 |
|
13 |
13 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
25 |
25 |
$3K |
| 81025 |
|
941 |
929 |
$3K |
| 99201 |
|
24 |
24 |
$3K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
192 |
191 |
$1K |
| 86901 |
|
29 |
29 |
$1K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
14 |
14 |
$968.80 |
| 99051 |
|
37 |
37 |
$390.51 |
| S0191 |
Misoprostol, oral, 200 mcg |
187 |
183 |
$303.91 |
| 86780 |
|
163 |
163 |
$124.56 |
| S4993 |
Contraceptive pills for birth control |
12 |
12 |
$64.50 |
| 87210 |
|
867 |
837 |
$28.98 |
| 83986 |
|
920 |
892 |
$20.01 |
| 85018 |
|
439 |
430 |
$11.06 |
| 81002 |
|
196 |
194 |
$0.00 |