| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99401 |
|
3,960 |
2,897 |
$106K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
1,184 |
845 |
$50K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
837 |
606 |
$40K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
665 |
553 |
$30K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
663 |
549 |
$30K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,249 |
969 |
$15K |
| S4993 |
Contraceptive pills for birth control |
341 |
286 |
$11K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
89 |
27 |
$6K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
131 |
58 |
$5K |
| 81025 |
|
551 |
397 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
12 |
12 |
$349.84 |
| 87210 |
|
13 |
12 |
$32.90 |