| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
35,512 |
34,748 |
$2.54M |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
91,662 |
87,686 |
$2.40M |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
91,526 |
87,718 |
$2.18M |
| J3490 |
Unclassified drugs |
51,482 |
44,952 |
$1.23M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,054 |
9,939 |
$1.03M |
| S4993 |
Contraceptive pills for birth control |
7,955 |
7,838 |
$858K |
| 87806 |
|
43,654 |
38,771 |
$810K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13,027 |
12,772 |
$762K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
31,320 |
31,242 |
$635K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,178 |
3,158 |
$631K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
15,555 |
15,389 |
$578K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
4,353 |
4,330 |
$501K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
385 |
383 |
$223K |
| 81025 |
|
45,656 |
44,949 |
$183K |
| A4267 |
Contraceptive supply, condom, male, each |
32,066 |
31,653 |
$135K |
| Q3014 |
Telehealth originating site facility fee |
7,805 |
7,559 |
$132K |
| 99201 |
|
1,326 |
1,310 |
$120K |
| 99000 |
|
31,774 |
31,613 |
$113K |
| S5199 |
Personal care item, nos, each |
12,160 |
12,077 |
$82K |
| 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 |
228 |
228 |
$81K |
| 59840 |
|
643 |
335 |
$70K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
295 |
295 |
$66K |
| 11981 |
|
388 |
383 |
$64K |
| S5000 |
Prescription drug, generic |
6,676 |
6,294 |
$37K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
2,638 |
2,638 |
$34K |
| 83986 |
|
14,190 |
13,174 |
$33K |
| 58300 |
|
518 |
271 |
$33K |
| 87210 |
|
9,392 |
9,241 |
$25K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
411 |
406 |
$20K |
| 11976 |
|
426 |
215 |
$17K |
| Q0144 |
Azithromycin dihydrate, oral, capsules/powder, 1 gram |
3,128 |
2,341 |
$17K |
| S5001 |
Prescription drug, brand name |
4,695 |
4,481 |
$14K |
| J7300 |
Intrauterine copper contraceptive (paragard) |
25 |
25 |
$12K |
| 90651 |
|
53 |
53 |
$11K |
| J7298 |
Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg |
16 |
16 |
$9K |
| 81002 |
|
3,679 |
3,638 |
$6K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
910 |
910 |
$6K |
| 85018 |
|
733 |
724 |
$4K |
| S0190 |
Mifepristone, oral, 200 mg |
84 |
83 |
$3K |
| 82120 |
|
1,219 |
1,207 |
$3K |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
1,889 |
1,610 |
$3K |
| 57454 |
|
48 |
26 |
$3K |
| J7303 |
Contraceptive supply, hormone containing vaginal ring, each |
12 |
12 |
$2K |
| 58301 |
|
81 |
41 |
$2K |
| 99152 |
|
75 |
75 |
$2K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
70 |
70 |
$2K |
| 99215 |
Prolong outpt/office vis |
28 |
28 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
67 |
64 |
$850.09 |
| Q0111 |
Wet mounts, including preparations of vaginal, cervical or skin specimens |
232 |
230 |
$843.82 |
| 11982 |
|
23 |
12 |
$723.91 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
13 |
13 |
$654.92 |
| 0012A |
|
15 |
15 |
$600.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
124 |
85 |
$519.74 |
| S0191 |
Misoprostol, oral, 200 mcg |
220 |
219 |
$470.51 |
| 36415 |
Collection of venous blood by venipuncture |
519 |
516 |
$392.75 |
| 90756 |
|
21 |
20 |
$298.48 |
| 86901 |
|
103 |
103 |
$290.24 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
12 |
12 |
$178.08 |
| 96127 |
|
36 |
36 |
$152.97 |
| 99406 |
|
14 |
14 |
$96.73 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
12 |
12 |
$50.32 |
| 86592 |
|
14 |
14 |
$21.40 |
| A4268 |
Contraceptive supply, condom, female, each |
14 |
14 |
$0.00 |