| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S4993 |
Contraceptive pills for birth control |
1,662 |
1,544 |
$281K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
943 |
913 |
$76K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
646 |
613 |
$73K |
| 87806 |
|
1,908 |
1,851 |
$56K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
563 |
553 |
$43K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,642 |
2,527 |
$29K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
538 |
531 |
$26K |
| 81025 |
|
3,120 |
3,000 |
$25K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
164 |
161 |
$20K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
13 |
12 |
$13K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
678 |
659 |
$10K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
111 |
107 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
42 |
41 |
$8K |
| 99050 |
|
434 |
422 |
$3K |
| 87210 |
|
406 |
197 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
539 |
519 |
$1K |
| 83986 |
|
188 |
180 |
$634.44 |
| A4550 |
Surgical trays |
433 |
417 |
$0.00 |