| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,421 |
10,703 |
$1.06M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,906 |
6,512 |
$673K |
| S4993 |
Contraceptive pills for birth control |
7,677 |
7,380 |
$288K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,435 |
1,368 |
$283K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
3,152 |
3,071 |
$251K |
| 81025 |
|
3,066 |
2,941 |
$39K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
50 |
49 |
$28K |
| 86703 |
|
1,014 |
968 |
$27K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,188 |
1,094 |
$26K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
117 |
111 |
$18K |
| 87210 |
|
2,280 |
2,168 |
$17K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
237 |
231 |
$9K |
| A4267 |
Contraceptive supply, condom, male, each |
1,191 |
1,159 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
181 |
168 |
$7K |
| 58300 |
|
28 |
27 |
$4K |
| 11981 |
|
14 |
12 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
1,130 |
1,072 |
$2K |
| 81002 |
|
321 |
307 |
$2K |
| 90686 |
|
43 |
43 |
$711.10 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
46 |
46 |
$593.23 |
| 90674 |
|
31 |
31 |
$575.00 |
| 86803 |
|
50 |
46 |
$469.02 |
| 86780 |
|
36 |
36 |
$410.44 |
| S0190 |
Mifepristone, oral, 200 mg |
14 |
14 |
$98.83 |
| 36416 |
|
15 |
13 |
$27.30 |
| S0191 |
Misoprostol, oral, 200 mcg |
14 |
14 |
$17.80 |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
66 |
63 |
$0.00 |
| 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 |
13 |
13 |
$0.00 |