| Code | Description | Claims | Beneficiaries | Total Paid |
| S4993 |
Contraceptive pills for birth control |
16,850 |
15,250 |
$863K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,042 |
6,250 |
$395K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,606 |
6,135 |
$254K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
583 |
566 |
$242K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
8,552 |
7,936 |
$234K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
2,452 |
2,323 |
$126K |
| 81025 |
|
10,164 |
9,300 |
$81K |
| 86780 |
|
6,406 |
5,762 |
$78K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,791 |
2,577 |
$77K |
| 86703 |
|
6,058 |
5,524 |
$72K |
| 87806 |
|
3,634 |
3,305 |
$68K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
491 |
448 |
$51K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
9,988 |
9,129 |
$46K |
| 11981 |
|
422 |
411 |
$42K |
| J7304 |
Contraceptive supply, hormone containing patch, each |
484 |
460 |
$42K |
| 87210 |
|
7,581 |
6,944 |
$41K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
548 |
510 |
$39K |
| J7303 |
Contraceptive supply, hormone containing vaginal ring, each |
652 |
609 |
$35K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
383 |
375 |
$32K |
| 83986 |
|
6,216 |
5,715 |
$24K |
| J3490 |
Unclassified drugs |
752 |
703 |
$18K |
| 11982 |
|
144 |
141 |
$16K |
| 58300 |
|
190 |
183 |
$12K |
| 87808 |
|
888 |
821 |
$11K |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
1,311 |
1,083 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
173 |
166 |
$3K |
| 36416 |
|
9,777 |
8,921 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
715 |
659 |
$2K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
71 |
69 |
$2K |
| 81002 |
|
811 |
766 |
$2K |
| J7295 |
Ethinyl estradiol and etonogestrel 0.015mg, 0.12mg per 24 hours; monthly vaginal ring, each |
17 |
13 |
$1K |
| 58301 |
|
14 |
14 |
$1K |
| 85018 |
|
25 |
25 |
$78.15 |