| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,486 |
6,338 |
$694K |
| S4993 |
Contraceptive pills for birth control |
5,275 |
5,179 |
$526K |
| J3490 |
Unclassified drugs |
8,875 |
8,010 |
$396K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,573 |
4,436 |
$353K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,771 |
1,749 |
$305K |
| 87806 |
|
9,387 |
8,392 |
$251K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,592 |
1,588 |
$240K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,619 |
3,593 |
$189K |
| 99201 |
|
1,018 |
1,011 |
$116K |
| 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 |
187 |
187 |
$116K |
| A4267 |
Contraceptive supply, condom, male, each |
4,937 |
4,868 |
$53K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
202 |
202 |
$46K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
49 |
47 |
$45K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,171 |
1,140 |
$29K |
| 86780 |
|
2,655 |
2,649 |
$29K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,139 |
1,111 |
$29K |
| S5000 |
Prescription drug, generic |
2,637 |
2,505 |
$28K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
2,225 |
2,225 |
$28K |
| 81025 |
|
7,513 |
7,391 |
$25K |
| J7303 |
Contraceptive supply, hormone containing vaginal ring, each |
25 |
25 |
$21K |
| 86703 |
|
1,698 |
1,497 |
$18K |
| 11981 |
|
70 |
69 |
$15K |
| S0190 |
Mifepristone, oral, 200 mg |
173 |
173 |
$13K |
| A4649 |
Surgical supply; miscellaneous |
957 |
820 |
$12K |
| 83986 |
|
3,678 |
3,033 |
$11K |
| 58300 |
|
100 |
51 |
$10K |
| Q0144 |
Azithromycin dihydrate, oral, capsules/powder, 1 gram |
865 |
649 |
$5K |
| Q0111 |
Wet mounts, including preparations of vaginal, cervical or skin specimens |
1,307 |
1,284 |
$5K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
122 |
85 |
$4K |
| 11976 |
|
57 |
29 |
$3K |
| 87210 |
|
854 |
788 |
$3K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
62 |
61 |
$2K |
| 99000 |
|
548 |
537 |
$2K |
| 81002 |
|
739 |
721 |
$1K |
| 86803 |
|
62 |
62 |
$926.04 |
| 87808 |
|
71 |
71 |
$725.18 |
| 90674 |
|
14 |
14 |
$462.00 |
| 88142 |
|
37 |
37 |
$387.73 |
| 85018 |
|
90 |
88 |
$203.91 |
| S0191 |
Misoprostol, oral, 200 mcg |
203 |
199 |
$184.91 |
| 86592 |
|
45 |
45 |
$174.34 |