| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
580 |
427 |
$18K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
503 |
486 |
$17K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
471 |
374 |
$14K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
174 |
144 |
$7K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
172 |
143 |
$7K |
| 90461 |
|
96 |
96 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
82 |
70 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
78 |
65 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
14 |
14 |
$900.32 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
40 |
39 |
$859.18 |
| 90734 |
|
41 |
41 |
$446.80 |
| 90651 |
|
52 |
52 |
$414.60 |
| 90686 |
|
64 |
62 |
$352.63 |
| 90633 |
|
177 |
174 |
$257.60 |
| 92551 |
|
12 |
12 |
$125.52 |
| 90715 |
|
28 |
28 |
$92.00 |
| 99173 |
|
12 |
12 |
$30.24 |
| 81025 |
|
17 |
13 |
$19.28 |