| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,017 |
1,974 |
$246K |
| S4993 |
Contraceptive pills for birth control |
1,455 |
1,437 |
$187K |
| J3490 |
Unclassified drugs |
6,011 |
4,783 |
$161K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
4,885 |
4,722 |
$134K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
4,889 |
4,731 |
$134K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
742 |
736 |
$132K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,143 |
1,132 |
$112K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,844 |
1,817 |
$109K |
| 87806 |
|
3,140 |
2,403 |
$75K |
| 99201 |
|
465 |
456 |
$53K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
196 |
195 |
$38K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
95 |
92 |
$28K |
| A4267 |
Contraceptive supply, condom, male, each |
3,556 |
3,492 |
$21K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
1,322 |
1,322 |
$17K |
| Q3014 |
Telehealth originating site facility fee |
454 |
364 |
$9K |
| 99000 |
|
2,099 |
2,092 |
$7K |
| 81025 |
|
2,075 |
2,044 |
$6K |
| J7303 |
Contraceptive supply, hormone containing vaginal ring, each |
16 |
16 |
$4K |
| Q0144 |
Azithromycin dihydrate, oral, capsules/powder, 1 gram |
644 |
357 |
$4K |
| S5000 |
Prescription drug, generic |
425 |
409 |
$4K |
| 83986 |
|
1,011 |
955 |
$3K |
| S5001 |
Prescription drug, brand name |
537 |
501 |
$3K |
| 87210 |
|
798 |
785 |
$2K |
| 58300 |
|
24 |
12 |
$2K |
| 81002 |
|
222 |
215 |
$386.20 |