| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,712 |
3,495 |
$328K |
| J3490 |
Unclassified drugs |
7,607 |
6,662 |
$284K |
| S4993 |
Contraceptive pills for birth control |
2,146 |
2,120 |
$274K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,990 |
1,898 |
$260K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
2,002 |
1,933 |
$243K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
277 |
275 |
$231K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,058 |
1,038 |
$218K |
| 87806 |
|
7,271 |
6,696 |
$191K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
4,010 |
3,628 |
$181K |
| 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 |
330 |
328 |
$173K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,508 |
2,414 |
$151K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
531 |
527 |
$119K |
| 11981 |
|
287 |
286 |
$64K |
| A4267 |
Contraceptive supply, condom, male, each |
4,378 |
4,339 |
$34K |
| 11976 |
|
456 |
229 |
$26K |
| 81025 |
|
7,481 |
7,314 |
$26K |
| 90651 |
|
106 |
105 |
$23K |
| S0190 |
Mifepristone, oral, 200 mg |
319 |
317 |
$20K |
| 99000 |
|
5,040 |
4,966 |
$19K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
1,097 |
1,097 |
$14K |
| J7303 |
Contraceptive supply, hormone containing vaginal ring, each |
85 |
82 |
$13K |
| 58300 |
|
137 |
70 |
$12K |
| S5199 |
Personal care item, nos, each |
3,702 |
3,664 |
$12K |
| 99201 |
|
133 |
133 |
$12K |
| S5000 |
Prescription drug, generic |
1,753 |
1,556 |
$9K |
| J7298 |
Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg |
13 |
13 |
$9K |
| 83986 |
|
1,718 |
1,636 |
$6K |
| 82120 |
|
919 |
883 |
$4K |
| Q0111 |
Wet mounts, including preparations of vaginal, cervical or skin specimens |
919 |
880 |
$3K |
| Q0144 |
Azithromycin dihydrate, oral, capsules/powder, 1 gram |
502 |
414 |
$3K |
| 58301 |
|
82 |
42 |
$2K |
| 99401 |
|
103 |
102 |
$2K |
| 87210 |
|
461 |
453 |
$2K |
| 99402 |
|
46 |
45 |
$1K |
| S0191 |
Misoprostol, oral, 200 mcg |
346 |
336 |
$1K |
| 81002 |
|
302 |
293 |
$627.21 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
76 |
75 |
$384.22 |
| 85018 |
|
54 |
54 |
$113.81 |