| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S4993 |
Contraceptive pills for birth control |
879 |
851 |
$90K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,977 |
1,904 |
$52K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
741 |
736 |
$50K |
| A4267 |
Contraceptive supply, condom, male, each |
4,073 |
3,869 |
$35K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
516 |
509 |
$31K |
| 80061 |
Lipid panel |
1,308 |
1,291 |
$9K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
748 |
731 |
$9K |
| 81025 |
|
1,253 |
1,231 |
$8K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
818 |
802 |
$5K |
| G0433 |
Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique, hiv-1 and/or hiv-2, screening |
330 |
326 |
$5K |
| 82947 |
|
1,301 |
1,284 |
$3K |
| G0475 |
Hiv antigen/antibody, combination assay, screening |
128 |
125 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
111 |
111 |
$2K |
| 99385 |
|
24 |
24 |
$2K |
| 81003 |
|
715 |
704 |
$1K |
| 85018 |
|
578 |
568 |
$1K |
| 85014 |
|
363 |
358 |
$676.56 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$395.13 |
| J3490 |
Unclassified drugs |
13 |
12 |
$0.00 |