| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S4993 |
Contraceptive pills for birth control |
8,132 |
7,162 |
$1.05M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,269 |
4,920 |
$458K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
3,136 |
2,947 |
$214K |
| 59841 |
|
341 |
304 |
$131K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,066 |
989 |
$114K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
873 |
810 |
$111K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
948 |
868 |
$103K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
828 |
796 |
$93K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,535 |
3,241 |
$61K |
| 81025 |
|
7,275 |
6,467 |
$55K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,218 |
1,119 |
$49K |
| S0190 |
Mifepristone, oral, 200 mg |
495 |
442 |
$31K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
257 |
251 |
$10K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
136 |
128 |
$10K |
| 86780 |
|
790 |
744 |
$9K |
| 87210 |
|
1,764 |
1,596 |
$9K |
| 86803 |
|
689 |
648 |
$9K |
| 86701 |
|
921 |
851 |
$7K |
| 99152 |
|
132 |
122 |
$7K |
| 90832 |
Psychotherapy, 30 minutes with patient |
122 |
87 |
$5K |
| 90834 |
Psychotherapy, 45 minutes with patient |
48 |
39 |
$3K |
| 85018 |
|
784 |
739 |
$2K |
| 99385 |
|
12 |
12 |
$2K |
| 86901 |
|
498 |
467 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
60 |
50 |
$993.52 |
| 86703 |
|
43 |
43 |
$575.82 |
| 36415 |
Collection of venous blood by venipuncture |
60 |
50 |
$402.54 |
| 81002 |
|
85 |
78 |
$256.42 |
| Q0144 |
Azithromycin dihydrate, oral, capsules/powder, 1 gram |
12 |
12 |
$120.00 |
| 99000 |
|
393 |
370 |
$0.00 |