| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,998 |
7,622 |
$1.01M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,100 |
7,796 |
$682K |
| J3490 |
Unclassified drugs |
19,370 |
16,774 |
$653K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
8,830 |
8,212 |
$379K |
| S4993 |
Contraceptive pills for birth control |
3,275 |
3,224 |
$363K |
| 87806 |
|
14,974 |
12,875 |
$361K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,892 |
4,794 |
$277K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,183 |
1,167 |
$239K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,841 |
1,760 |
$230K |
| 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 |
397 |
393 |
$194K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
160 |
160 |
$131K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
617 |
617 |
$128K |
| J7304 |
Contraceptive supply, hormone containing patch, each |
93 |
93 |
$66K |
| A4267 |
Contraceptive supply, condom, male, each |
7,776 |
7,735 |
$63K |
| 99201 |
|
584 |
580 |
$53K |
| 81025 |
|
17,660 |
17,382 |
$50K |
| 99000 |
|
9,321 |
9,197 |
$37K |
| 11981 |
|
158 |
158 |
$35K |
| S5000 |
Prescription drug, generic |
7,081 |
5,967 |
$26K |
| 83986 |
|
8,177 |
7,328 |
$23K |
| 11976 |
|
369 |
184 |
$19K |
| S0190 |
Mifepristone, oral, 200 mg |
326 |
325 |
$19K |
| S5199 |
Personal care item, nos, each |
5,612 |
5,581 |
$17K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
1,284 |
1,284 |
$16K |
| 82120 |
|
3,736 |
3,681 |
$14K |
| Q0111 |
Wet mounts, including preparations of vaginal, cervical or skin specimens |
3,627 |
3,587 |
$13K |
| 90791 |
Psychiatric diagnostic evaluation |
72 |
63 |
$12K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
124 |
118 |
$9K |
| Q0144 |
Azithromycin dihydrate, oral, capsules/powder, 1 gram |
1,529 |
1,347 |
$9K |
| 87210 |
|
1,914 |
1,904 |
$6K |
| J7303 |
Contraceptive supply, hormone containing vaginal ring, each |
24 |
24 |
$3K |
| 90651 |
|
13 |
13 |
$3K |
| 81002 |
|
1,415 |
1,395 |
$3K |
| 99401 |
|
138 |
138 |
$3K |
| 58300 |
|
26 |
13 |
$2K |
| 58301 |
|
79 |
40 |
$2K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
281 |
262 |
$1K |
| S0191 |
Misoprostol, oral, 200 mcg |
409 |
392 |
$1K |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
18 |
18 |
$228.78 |