| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
130,095 |
111,876 |
$6.45M |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
171,934 |
146,719 |
$5.73M |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
171,821 |
146,698 |
$5.73M |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
146,929 |
135,571 |
$4.33M |
| S4993 |
Contraceptive pills for birth control |
69,924 |
59,534 |
$3.44M |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
44,961 |
38,335 |
$2.35M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
25,318 |
21,990 |
$2.01M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
31,182 |
27,611 |
$1.02M |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
59,808 |
50,060 |
$914K |
| A4267 |
Contraceptive supply, condom, male, each |
67,947 |
62,729 |
$829K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
11,490 |
9,466 |
$729K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
14,816 |
13,526 |
$723K |
| 81025 |
|
72,264 |
63,329 |
$505K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
6,198 |
5,852 |
$457K |
| 99156 |
|
11,531 |
9,243 |
$382K |
| 36415 |
Collection of venous blood by venipuncture |
96,472 |
84,109 |
$378K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,265 |
3,466 |
$362K |
| S5001 |
Prescription drug, brand name |
11,068 |
10,160 |
$327K |
| 87210 |
|
48,329 |
41,944 |
$225K |
| S5000 |
Prescription drug, generic |
18,586 |
12,744 |
$196K |
| 85018 |
|
41,073 |
33,806 |
$102K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,519 |
1,155 |
$98K |
| 87481 |
|
3,309 |
3,062 |
$96K |
| 59840 |
|
1,738 |
1,020 |
$89K |
| 81513 |
|
1,242 |
1,178 |
$83K |
| 96127 |
|
4,927 |
4,282 |
$73K |
| J7303 |
Contraceptive supply, hormone containing vaginal ring, each |
1,028 |
972 |
$67K |
| 86901 |
|
19,535 |
16,384 |
$62K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
381 |
349 |
$55K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
995 |
958 |
$29K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
544 |
467 |
$28K |
| 99201 |
|
799 |
733 |
$22K |
| 58300 |
|
517 |
450 |
$21K |
| 81002 |
|
7,467 |
6,483 |
$21K |
| 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 |
1,071 |
739 |
$18K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
53 |
48 |
$18K |
| 99152 |
|
342 |
317 |
$17K |
| 01966 |
|
456 |
268 |
$14K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,357 |
1,189 |
$12K |
| 99442 |
|
230 |
182 |
$9K |
| J7295 |
Ethinyl estradiol and etonogestrel 0.015mg, 0.12mg per 24 hours; monthly vaginal ring, each |
438 |
419 |
$7K |
| 11982 |
|
73 |
64 |
$7K |
| S0190 |
Mifepristone, oral, 200 mg |
1,124 |
767 |
$5K |
| 90656 |
|
241 |
225 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
44 |
42 |
$4K |
| 90686 |
|
229 |
203 |
$4K |
| J7298 |
Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg |
12 |
12 |
$4K |
| 90651 |
|
13 |
13 |
$3K |
| 90688 |
|
253 |
217 |
$2K |
| 99385 |
|
15 |
14 |
$2K |
| 58301 |
|
25 |
25 |
$2K |
| 99215 |
Prolong outpt/office vis |
16 |
13 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
116 |
105 |
$2K |
| 11981 |
|
12 |
12 |
$1K |
| 96160 |
|
730 |
594 |
$1K |
| 99000 |
|
16,510 |
11,378 |
$478.50 |
| S0191 |
Misoprostol, oral, 200 mcg |
1,521 |
881 |
$472.66 |
| 87625 |
|
15 |
14 |
$433.72 |
| 90756 |
|
13 |
13 |
$341.24 |
| 99408 |
|
12 |
12 |
$246.40 |
| 83986 |
|
11,868 |
10,658 |
$152.95 |
| 76998 |
|
265 |
179 |
$13.86 |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
6,362 |
2,033 |
$7.50 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
13 |
12 |
$7.20 |