| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S9430 |
Pharmacy compounding and dispensing services |
63,214 |
60,965 |
$6.34M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
48,789 |
47,028 |
$2.98M |
| S4993 |
Contraceptive pills for birth control |
76,284 |
64,651 |
$2.62M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
25,219 |
24,553 |
$997K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
15,877 |
15,455 |
$850K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
26,067 |
25,581 |
$731K |
| 81025 |
|
71,717 |
69,645 |
$693K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,910 |
4,793 |
$682K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
4,381 |
4,280 |
$453K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
30,784 |
29,775 |
$414K |
| 58300 |
|
1,092 |
1,075 |
$356K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,346 |
3,290 |
$344K |
| J7304 |
Contraceptive supply, hormone containing patch, each |
354 |
323 |
$173K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
442 |
436 |
$172K |
| 86703 |
|
12,635 |
12,462 |
$165K |
| 36415 |
Collection of venous blood by venipuncture |
22,742 |
21,885 |
$118K |
| J3490 |
Unclassified drugs |
8,010 |
7,596 |
$82K |
| A4267 |
Contraceptive supply, condom, male, each |
8,774 |
8,364 |
$69K |
| 87210 |
|
14,025 |
13,750 |
$67K |
| 11981 |
|
207 |
204 |
$65K |
| 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 |
246 |
241 |
$62K |
| 99201 |
|
1,948 |
1,888 |
$58K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
653 |
576 |
$37K |
| 36416 |
|
15,004 |
14,776 |
$31K |
| J7297 |
Levonorgestrel-releasing intrauterine contraceptive system (liletta), 52 mg |
386 |
382 |
$29K |
| 99385 |
|
288 |
285 |
$26K |
| 59899 |
|
130 |
128 |
$23K |
| 59840 |
|
260 |
219 |
$20K |
| 99421 |
|
1,312 |
1,306 |
$19K |
| 58301 |
|
325 |
317 |
$19K |
| 11982 |
|
177 |
177 |
$13K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
61 |
61 |
$13K |
| 90651 |
|
73 |
70 |
$13K |
| S0190 |
Mifepristone, oral, 200 mg |
293 |
265 |
$5K |
| 81002 |
|
1,502 |
1,473 |
$4K |
| 82120 |
|
790 |
771 |
$4K |
| J7303 |
Contraceptive supply, hormone containing vaginal ring, each |
105 |
98 |
$4K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
104 |
94 |
$3K |
| J7298 |
Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg |
14 |
14 |
$3K |
| J7300 |
Intrauterine copper contraceptive (paragard) |
12 |
12 |
$3K |
| 83986 |
|
837 |
804 |
$3K |
| 85018 |
|
893 |
819 |
$2K |
| A4269 |
Contraceptive supply, spermicide (e.g., foam, gel), each |
193 |
160 |
$839.17 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
79 |
76 |
$603.37 |
| 86901 |
|
265 |
220 |
$568.91 |
| S0191 |
Misoprostol, oral, 200 mcg |
488 |
394 |
$357.20 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
12 |
12 |
$6.45 |