| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S4993 |
Contraceptive pills for birth control |
4,483 |
4,052 |
$575K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,571 |
1,454 |
$119K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
1,339 |
1,243 |
$96K |
| 87806 |
|
2,052 |
1,835 |
$56K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,074 |
1,011 |
$51K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
410 |
348 |
$42K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
3,957 |
3,681 |
$42K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
27 |
25 |
$26K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,440 |
1,330 |
$21K |
| 81025 |
|
2,272 |
2,079 |
$17K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
129 |
95 |
$11K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
169 |
137 |
$11K |
| 87210 |
|
1,565 |
718 |
$8K |
| 99050 |
|
706 |
651 |
$4K |
| 83986 |
|
785 |
718 |
$2K |
| A4550 |
Surgical trays |
484 |
452 |
$2K |
| 99459 |
|
74 |
47 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
99 |
81 |
$241.86 |
| 81002 |
|
19 |
17 |
$23.36 |