| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
1,756 |
1,743 |
$1.76M |
| J3490 |
Unclassified drugs |
23,716 |
19,675 |
$1.07M |
| 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 |
1,981 |
1,962 |
$1.01M |
| 99213 |
|
9,957 |
9,607 |
$806K |
| S4993 |
Contraceptive pills for birth control |
6,188 |
6,126 |
$751K |
| 99212 |
|
11,220 |
10,944 |
$675K |
| 99202 |
|
3,831 |
3,793 |
$454K |
| 99214 |
|
3,805 |
3,758 |
$454K |
| J7304 |
Contraceptive supply, hormone containing patch, each |
460 |
459 |
$450K |
| 99211 |
|
12,199 |
11,783 |
$428K |
| 11981 |
|
1,633 |
1,621 |
$399K |
| 99203 |
|
1,479 |
1,478 |
$297K |
| 87806 |
|
11,048 |
10,064 |
$274K |
| 59840 |
|
1,232 |
628 |
$200K |
| 58300 |
|
1,775 |
912 |
$173K |
| T1999 |
Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" |
10,534 |
6,341 |
$168K |
| 76815 |
|
2,673 |
2,599 |
$166K |
| 99201 |
|
1,923 |
1,900 |
$158K |
| 99204 |
|
663 |
663 |
$156K |
| J7298 |
Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg |
160 |
159 |
$139K |
| A4267 |
Contraceptive supply, condom, male, each |
10,644 |
10,533 |
$130K |
| S0190 |
Mifepristone, oral, 200 mg |
2,000 |
1,984 |
$118K |
| 87661 |
|
3,064 |
3,056 |
$90K |
| 11976 |
|
1,210 |
619 |
$80K |
| 11982 |
|
1,053 |
532 |
$69K |
| J7300 |
Intrauterine copper contraceptive (paragard) |
57 |
57 |
$54K |
| 58301 |
|
1,520 |
775 |
$47K |
| J7303 |
Contraceptive supply, hormone containing vaginal ring, each |
133 |
131 |
$43K |
| 99000 |
|
10,217 |
9,906 |
$42K |
| 81025 |
|
11,952 |
11,827 |
$34K |
| 99401 |
|
1,365 |
1,345 |
$26K |
| Q0111 |
Wet mounts, including preparations of vaginal, cervical or skin specimens |
5,965 |
5,850 |
$21K |
| 83986 |
|
6,808 |
6,418 |
$20K |
| S5000 |
Prescription drug, generic |
2,098 |
1,985 |
$18K |
| J7295 |
Ethinyl estradiol and etonogestrel 0.015mg, 0.12mg per 24 hours; monthly vaginal ring, each |
12 |
12 |
$15K |
| 99402 |
|
417 |
415 |
$13K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
971 |
971 |
$12K |
| Q0144 |
Azithromycin dihydrate, oral, capsules/powder, 1 gram |
1,529 |
1,453 |
$8K |
| S0191 |
Misoprostol, oral, 200 mcg |
2,097 |
2,049 |
$6K |
| 87591 |
|
194 |
194 |
$6K |
| 85018 |
|
2,054 |
1,979 |
$4K |
| 76817 |
|
45 |
44 |
$4K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
641 |
628 |
$3K |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
205 |
203 |
$3K |
| 0270 |
|
353 |
226 |
$2K |
| 87491 |
|
76 |
76 |
$2K |
| 81002 |
|
1,002 |
989 |
$2K |
| 86901 |
|
720 |
709 |
$2K |
| 99152 |
|
30 |
30 |
$1K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
173 |
168 |
$526.50 |
| J0561 |
Injection, penicillin g benzathine, 100,000 units |
48 |
36 |
$498.63 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
202 |
197 |
$205.00 |