| Code | Description | Claims | Beneficiaries | Total Paid |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16,495 |
16,012 |
$1.57M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,792 |
8,564 |
$1.13M |
| S4993 |
Contraceptive pills for birth control |
5,429 |
5,383 |
$377K |
| J3490 |
Unclassified drugs |
4,805 |
4,278 |
$371K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,933 |
1,930 |
$353K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,069 |
1,060 |
$221K |
| 99402 |
|
5,190 |
5,138 |
$165K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,610 |
2,587 |
$153K |
| 99401 |
|
8,035 |
7,986 |
$153K |
| 86703 |
|
13,207 |
11,431 |
$137K |
| A4267 |
Contraceptive supply, condom, male, each |
8,500 |
8,462 |
$115K |
| 99201 |
|
769 |
768 |
$96K |
| 90651 |
|
304 |
304 |
$84K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
240 |
240 |
$75K |
| 86780 |
|
7,278 |
6,382 |
$70K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
3,699 |
3,699 |
$47K |
| 58300 |
|
562 |
315 |
$46K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
26 |
26 |
$29K |
| S5001 |
Prescription drug, brand name |
4,607 |
4,372 |
$24K |
| 81025 |
|
5,885 |
5,767 |
$21K |
| J7296 |
Levonorgestrel-releasing intrauterine contraceptive system, (kyleena), 19.5 mg |
13 |
13 |
$12K |
| Q0111 |
Wet mounts, including preparations of vaginal, cervical or skin specimens |
3,606 |
3,521 |
$11K |
| Q0144 |
Azithromycin dihydrate, oral, capsules/powder, 1 gram |
1,858 |
1,407 |
$11K |
| S9446 |
Patient education, not otherwise classified, non-physician provider, group, per session |
1,914 |
1,914 |
$7K |
| 11981 |
|
26 |
26 |
$5K |
| 58301 |
|
46 |
26 |
$3K |
| 81000 |
|
441 |
431 |
$1K |
| 11976 |
|
20 |
12 |
$941.36 |
| J7303 |
Contraceptive supply, hormone containing vaginal ring, each |
12 |
12 |
$937.98 |
| 81002 |
|
419 |
406 |
$797.31 |
| 86803 |
|
16 |
16 |
$210.08 |