| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 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 |
8,911 |
8,842 |
$7.16M |
| 99215 |
Prolong outpt/office vis |
12,582 |
11,386 |
$1.01M |
| 76857 |
|
9,772 |
9,520 |
$618K |
| 99205 |
Prolong outpt/office vis |
1,681 |
1,639 |
$228K |
| S4993 |
Contraceptive pills for birth control |
3,013 |
2,779 |
$140K |
| J3490 |
Unclassified drugs |
3,337 |
3,111 |
$99K |
| H0033 |
Oral medication administration, direct observation |
189 |
167 |
$59K |
| A4267 |
Contraceptive supply, condom, male, each |
4,139 |
3,877 |
$56K |
| 81025 |
|
10,785 |
10,562 |
$43K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,203 |
1,011 |
$34K |
| 86901 |
|
9,200 |
9,121 |
$31K |
| 85013 |
|
9,194 |
9,118 |
$26K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
157 |
150 |
$11K |
| S0190 |
Mifepristone, oral, 200 mg |
98 |
97 |
$9K |
| 99000 |
|
1,016 |
895 |
$5K |
| Q0144 |
Azithromycin dihydrate, oral, capsules/powder, 1 gram |
140 |
135 |
$5K |
| 86328 |
|
103 |
100 |
$4K |
| 86769 |
|
86 |
84 |
$3K |
| J1000 |
Injection, depo-estradiol cypionate, up to 5 mg |
76 |
69 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
39 |
38 |
$2K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
28 |
25 |
$2K |
| 86900 |
|
151 |
149 |
$525.50 |
| 85018 |
|
149 |
148 |
$454.06 |
| S0191 |
Misoprostol, oral, 200 mcg |
16 |
13 |
$59.16 |
| 81005 |
|
16 |
15 |
$42.56 |