| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
1,704 |
1,424 |
$90K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,794 |
1,467 |
$79K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,774 |
1,453 |
$78K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,909 |
1,573 |
$23K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
249 |
188 |
$16K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
530 |
429 |
$13K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
266 |
177 |
$11K |
| S4993 |
Contraceptive pills for birth control |
321 |
301 |
$8K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
122 |
34 |
$5K |
| 99385 |
|
52 |
48 |
$4K |
| 87210 |
|
743 |
521 |
$3K |
| 88142 |
|
286 |
221 |
$3K |
| Q0111 |
Wet mounts, including preparations of vaginal, cervical or skin specimens |
251 |
218 |
$2K |
| 81025 |
|
218 |
172 |
$1K |