| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S4993 |
Contraceptive pills for birth control |
1,425 |
1,305 |
$246K |
| 87806 |
|
2,252 |
2,122 |
$64K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,194 |
1,135 |
$57K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
414 |
380 |
$32K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
323 |
312 |
$25K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
270 |
263 |
$21K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,689 |
1,608 |
$18K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
120 |
112 |
$14K |
| 81025 |
|
1,459 |
1,371 |
$11K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
403 |
391 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
52 |
43 |
$5K |
| 99050 |
|
446 |
419 |
$3K |
| 87210 |
|
387 |
176 |
$2K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
51 |
48 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
532 |
463 |
$1K |
| 99459 |
|
84 |
42 |
$921.70 |
| 83986 |
|
195 |
176 |
$596.70 |
| A4550 |
Surgical trays |
222 |
205 |
$172.38 |