| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,027 |
2,926 |
$128K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,156 |
1,140 |
$76K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
985 |
964 |
$65K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,774 |
1,732 |
$54K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,758 |
1,718 |
$53K |
| 99000 |
|
3,970 |
3,896 |
$39K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,172 |
1,106 |
$36K |
| 87800 |
|
952 |
932 |
$34K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,550 |
1,512 |
$22K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,275 |
2,232 |
$15K |
| 81025 |
|
2,133 |
2,076 |
$15K |
| 86762 |
|
1,151 |
1,122 |
$14K |
| 80061 |
Lipid panel |
1,410 |
1,381 |
$13K |
| 86703 |
|
1,272 |
1,252 |
$13K |
| 87806 |
|
444 |
442 |
$12K |
| 82947 |
|
2,272 |
2,224 |
$7K |
| 86592 |
|
1,884 |
1,848 |
$7K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
677 |
672 |
$5K |
| 81003 |
|
2,694 |
2,627 |
$5K |
| 86787 |
|
532 |
520 |
$4K |
| H1010 |
Non-medical family planning education, per session |
312 |
308 |
$4K |
| 86580 |
|
594 |
562 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
153 |
149 |
$2K |
| 84702 |
|
86 |
84 |
$1K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
13 |
13 |
$1K |
| 59430 |
|
12 |
12 |
$647.29 |
| 86696 |
|
19 |
18 |
$361.44 |
| 84144 |
|
12 |
12 |
$192.72 |
| 85018 |
|
16 |
16 |
$31.84 |
| 83655 |
|
35 |
34 |
$0.00 |