| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,600 |
4,259 |
$701K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,484 |
4,175 |
$464K |
| S4993 |
Contraceptive pills for birth control |
2,333 |
2,299 |
$240K |
| 87806 |
|
10,478 |
8,615 |
$239K |
| J3490 |
Unclassified drugs |
8,140 |
7,111 |
$231K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,895 |
3,379 |
$217K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
886 |
798 |
$209K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
523 |
523 |
$137K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,839 |
1,795 |
$134K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
895 |
854 |
$129K |
| 99201 |
|
222 |
222 |
$25K |
| 81025 |
|
8,287 |
8,089 |
$22K |
| S5000 |
Prescription drug, generic |
3,388 |
3,092 |
$19K |
| 99000 |
|
5,150 |
5,102 |
$19K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
1,369 |
1,369 |
$17K |
| 83986 |
|
6,299 |
5,277 |
$17K |
| A4267 |
Contraceptive supply, condom, male, each |
2,024 |
2,011 |
$12K |
| Q0111 |
Wet mounts, including preparations of vaginal, cervical or skin specimens |
3,052 |
2,965 |
$10K |
| 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 |
30 |
30 |
$10K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
12 |
12 |
$9K |
| 11981 |
|
24 |
24 |
$5K |
| 82120 |
|
1,353 |
1,283 |
$4K |
| 81002 |
|
1,181 |
1,154 |
$2K |
| Q0144 |
Azithromycin dihydrate, oral, capsules/powder, 1 gram |
351 |
293 |
$2K |
| 87210 |
|
742 |
715 |
$2K |
| 58300 |
|
26 |
13 |
$2K |
| S5199 |
Personal care item, nos, each |
494 |
489 |
$714.77 |
| S0191 |
Misoprostol, oral, 200 mcg |
42 |
42 |
$109.50 |