| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S4993 |
Contraceptive pills for birth control |
1,149 |
1,051 |
$175K |
| 87806 |
|
814 |
741 |
$21K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
418 |
404 |
$20K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
193 |
188 |
$13K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
143 |
135 |
$11K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
12 |
12 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
68 |
66 |
$8K |
| 81025 |
|
938 |
888 |
$7K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
661 |
611 |
$7K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
67 |
64 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
246 |
238 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$2K |
| 87210 |
|
387 |
163 |
$2K |
| 99459 |
|
52 |
26 |
$598.00 |
| 83986 |
|
194 |
163 |
$531.34 |
| 36415 |
Collection of venous blood by venipuncture |
185 |
147 |
$426.12 |
| A4550 |
Surgical trays |
68 |
63 |
$56.06 |