| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,056 |
927 |
$84K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
1,539 |
1,424 |
$34K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
247 |
237 |
$27K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
852 |
746 |
$17K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
153 |
134 |
$15K |
| 81025 |
|
1,887 |
1,709 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
308 |
266 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
1,477 |
1,346 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
52 |
39 |
$2K |
| 90619 |
|
54 |
48 |
$1K |
| 90715 |
|
53 |
44 |
$897.00 |
| 0072A |
|
16 |
16 |
$640.00 |
| 0071A |
|
16 |
16 |
$600.00 |
| 0004A |
|
14 |
14 |
$560.00 |
| 90713 |
|
14 |
12 |
$230.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
76 |
59 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
58 |
55 |
$0.00 |
| 86706 |
|
57 |
54 |
$0.00 |
| 86780 |
|
56 |
53 |
$0.00 |
| 86803 |
|
58 |
55 |
$0.00 |
| 87340 |
|
52 |
49 |
$0.00 |