| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,709 |
6,295 |
$567K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
402 |
402 |
$452K |
| J3490 |
Unclassified drugs |
8,899 |
7,411 |
$377K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,551 |
5,369 |
$333K |
| S0199 |
Medically induced abortion by oral ingestion of medication including all associated services and supplies (e.g., patient counseling, office visits, confirmation of pregnancy by hcg, ultrasound to confirm duration of pregnancy, ultrasound to confirm completion of abortion) except drugs |
778 |
774 |
$295K |
| S4993 |
Contraceptive pills for birth control |
2,929 |
2,901 |
$293K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
2,173 |
2,169 |
$259K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,949 |
1,924 |
$253K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
6,931 |
6,577 |
$235K |
| 87806 |
|
6,121 |
5,168 |
$125K |
| 11981 |
|
438 |
438 |
$122K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
484 |
484 |
$98K |
| 99201 |
|
1,152 |
1,143 |
$92K |
| 58300 |
|
583 |
289 |
$70K |
| J7304 |
Contraceptive supply, hormone containing patch, each |
69 |
69 |
$59K |
| A4267 |
Contraceptive supply, condom, male, each |
3,971 |
3,948 |
$49K |
| 11976 |
|
486 |
252 |
$35K |
| S0190 |
Mifepristone, oral, 200 mg |
688 |
684 |
$32K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
1,212 |
1,209 |
$29K |
| 81025 |
|
6,443 |
6,372 |
$16K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
512 |
495 |
$16K |
| 58301 |
|
345 |
180 |
$13K |
| 99000 |
|
4,545 |
4,440 |
$12K |
| 83986 |
|
4,956 |
4,155 |
$12K |
| 99401 |
|
588 |
582 |
$11K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
880 |
880 |
$11K |
| S5000 |
Prescription drug, generic |
1,387 |
1,282 |
$11K |
| Q0111 |
Wet mounts, including preparations of vaginal, cervical or skin specimens |
3,518 |
3,437 |
$11K |
| J7300 |
Intrauterine copper contraceptive (paragard) |
14 |
14 |
$10K |
| 99402 |
|
134 |
132 |
$4K |
| Q3014 |
Telehealth originating site facility fee |
203 |
200 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$3K |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
225 |
146 |
$3K |
| S0191 |
Misoprostol, oral, 200 mcg |
737 |
729 |
$2K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,799 |
1,768 |
$2K |
| T1999 |
Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" |
775 |
607 |
$1K |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
131 |
123 |
$1K |
| Q0144 |
Azithromycin dihydrate, oral, capsules/powder, 1 gram |
343 |
339 |
$1K |
| 81002 |
|
629 |
614 |
$906.12 |
| T1014 |
Telehealth transmission, per minute, professional services bill separately |
203 |
200 |
$331.87 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,754 |
1,723 |
$272.91 |
| 85018 |
|
89 |
88 |
$131.42 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
18 |
14 |
$69.41 |