| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,534 |
8,067 |
$1.14M |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
6,083 |
2,455 |
$411K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
4,679 |
2,282 |
$329K |
| 59840 |
|
542 |
542 |
$282K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,238 |
1,782 |
$251K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,013 |
1,606 |
$234K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,565 |
1,273 |
$122K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
306 |
306 |
$108K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,089 |
510 |
$68K |
| 11981 |
|
268 |
268 |
$59K |
| J7298 |
Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg |
243 |
241 |
$58K |
| 58300 |
|
405 |
400 |
$53K |
| 76830 |
Ultrasound, transvaginal |
355 |
340 |
$43K |
| 11982 |
|
162 |
161 |
$36K |
| 86703 |
|
2,349 |
2,345 |
$32K |
| 58301 |
|
223 |
221 |
$30K |
| S0190 |
Mifepristone, oral, 200 mg |
395 |
395 |
$26K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,068 |
2,021 |
$23K |
| 81025 |
|
5,665 |
5,406 |
$19K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
926 |
580 |
$17K |
| 76998 |
|
118 |
118 |
$16K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
57 |
57 |
$10K |
| 99385 |
|
55 |
55 |
$8K |
| 99201 |
|
84 |
28 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$3K |
| 99406 |
|
122 |
121 |
$2K |
| 99051 |
|
156 |
156 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
116 |
115 |
$1K |
| 87210 |
|
2,312 |
2,246 |
$795.90 |
| S0191 |
Misoprostol, oral, 200 mcg |
397 |
397 |
$664.16 |
| 99156 |
|
150 |
150 |
$534.49 |
| 36415 |
Collection of venous blood by venipuncture |
2,009 |
1,924 |
$307.91 |
| 83986 |
|
3,106 |
3,035 |
$171.48 |
| 81002 |
|
523 |
507 |
$10.54 |
| 85018 |
|
1,347 |
1,331 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
14 |
14 |
$0.00 |
| 90385 |
|
12 |
12 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
38 |
37 |
$0.00 |
| 99152 |
|
165 |
163 |
$0.00 |