| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,942 |
1,862 |
$220K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,954 |
2,675 |
$196K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
106 |
105 |
$88K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
1,333 |
1,136 |
$78K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,673 |
1,517 |
$69K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,012 |
1,772 |
$23K |
| 36415 |
Collection of venous blood by venipuncture |
7,001 |
6,519 |
$20K |
| 81025 |
|
3,401 |
3,105 |
$17K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
99 |
95 |
$14K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
118 |
114 |
$12K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
109 |
105 |
$12K |
| 11981 |
|
88 |
87 |
$9K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
156 |
140 |
$8K |
| 87210 |
|
2,075 |
1,933 |
$8K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
334 |
319 |
$7K |
| 99201 |
|
234 |
187 |
$6K |
| 11982 |
|
60 |
52 |
$5K |
| 58300 |
|
14 |
14 |
$1K |
| 81002 |
|
36 |
36 |
$83.19 |
| 86901 |
|
20 |
15 |
$52.74 |
| 85018 |
|
68 |
57 |
$50.10 |
| 36416 |
|
2,601 |
2,380 |
$33.00 |
| S0191 |
Misoprostol, oral, 200 mcg |
85 |
72 |
$0.00 |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
122 |
88 |
$0.00 |
| S0190 |
Mifepristone, oral, 200 mg |
19 |
17 |
$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 |
19 |
17 |
$0.00 |
| 59840 |
|
46 |
35 |
$0.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
236 |
207 |
$0.00 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
234 |
207 |
$0.00 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
40 |
33 |
$0.00 |
| 64435 |
|
16 |
12 |
$0.00 |