| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2023 |
Targeted case management; per month |
538 |
520 |
$295K |
| 90837 |
Psychotherapy, 53 minutes with patient |
2,844 |
1,402 |
$253K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,287 |
3,425 |
$210K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,865 |
2,591 |
$205K |
| S4993 |
Contraceptive pills for birth control |
797 |
656 |
$68K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
2,226 |
2,038 |
$61K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
2,231 |
2,038 |
$61K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
1,122 |
949 |
$30K |
| 81025 |
|
3,361 |
2,969 |
$21K |
| 90834 |
Psychotherapy, 45 minutes with patient |
302 |
219 |
$21K |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
2,293 |
1,713 |
$13K |
| 36415 |
Collection of venous blood by venipuncture |
2,217 |
2,044 |
$7K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
315 |
306 |
$6K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
86 |
72 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
466 |
382 |
$4K |
| 87210 |
|
1,181 |
1,051 |
$4K |
| Q0144 |
Azithromycin dihydrate, oral, capsules/powder, 1 gram |
123 |
104 |
$3K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
72 |
63 |
$3K |
| 86592 |
|
345 |
330 |
$1K |
| 90832 |
Psychotherapy, 30 minutes with patient |
17 |
13 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
26 |
25 |
$348.35 |