| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
507 |
467 |
$15K |
| 81025 |
|
1,302 |
1,209 |
$9K |
| S4993 |
Contraceptive pills for birth control |
56 |
50 |
$8K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
89 |
89 |
$6K |
| A4267 |
Contraceptive supply, condom, male, each |
2,245 |
1,970 |
$6K |
| J3490 |
Unclassified drugs |
75 |
66 |
$4K |
| 99000 |
|
367 |
348 |
$3K |
| 87210 |
|
464 |
444 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
156 |
152 |
$2K |
| 99385 |
|
14 |
13 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$837.96 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15 |
13 |
$474.72 |
| 85018 |
|
65 |
56 |
$123.38 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
69 |
69 |
$117.92 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
46 |
45 |
$88.44 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
44 |
43 |
$58.96 |
| 81002 |
|
14 |
13 |
$37.96 |