| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S4993 |
Contraceptive pills for birth control |
565 |
555 |
$47K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,651 |
1,588 |
$43K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
649 |
646 |
$40K |
| 81025 |
|
5,391 |
4,772 |
$33K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
898 |
890 |
$32K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,849 |
1,735 |
$30K |
| 99000 |
|
3,146 |
3,111 |
$26K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
302 |
301 |
$16K |
| A4267 |
Contraceptive supply, condom, male, each |
1,997 |
1,897 |
$11K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
650 |
646 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
103 |
102 |
$6K |
| 80061 |
Lipid panel |
506 |
503 |
$3K |
| 85018 |
|
1,580 |
1,570 |
$3K |
| 87210 |
|
421 |
413 |
$1K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
25 |
25 |
$425.75 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
25 |
25 |
$425.75 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
13 |
$140.76 |
| 81002 |
|
30 |
30 |
$64.24 |
| 97802 |
|
13 |
13 |
$0.00 |