| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S2260 |
Induced abortion, 17 to 24 weeks |
2,749 |
2,734 |
$640K |
| 76998 |
|
2,270 |
1,942 |
$392K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
3,813 |
3,644 |
$391K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
3,166 |
3,117 |
$209K |
| 57800 |
|
2,042 |
1,900 |
$94K |
| 99402 |
|
3,328 |
3,252 |
$88K |
| S0190 |
Mifepristone, oral, 200 mg |
818 |
810 |
$66K |
| 99152 |
|
1,392 |
1,212 |
$63K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
213 |
208 |
$23K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
12 |
12 |
$11K |
| 36415 |
Collection of venous blood by venipuncture |
3,295 |
3,233 |
$10K |
| 85018 |
|
3,343 |
3,279 |
$8K |
| 59840 |
|
366 |
358 |
$7K |
| 86901 |
|
1,842 |
1,810 |
$6K |
| 11981 |
|
12 |
12 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
45 |
45 |
$2K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
2,013 |
1,553 |
$2K |
| 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 |
55 |
55 |
$1K |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
1,971 |
1,568 |
$260.14 |
| S0191 |
Misoprostol, oral, 200 mcg |
208 |
168 |
$231.52 |