| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,305 |
6,397 |
$945K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,776 |
1,773 |
$350K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,200 |
2,072 |
$331K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
475 |
474 |
$146K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,026 |
912 |
$109K |
| J3490 |
Unclassified drugs |
1,131 |
1,003 |
$61K |
| A4267 |
Contraceptive supply, condom, male, each |
6,145 |
5,526 |
$56K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
3,305 |
3,303 |
$50K |
| S4993 |
Contraceptive pills for birth control |
787 |
780 |
$37K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
51 |
51 |
$15K |
| 81025 |
|
4,900 |
4,560 |
$13K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
17 |
17 |
$13K |
| 99000 |
|
3,469 |
3,435 |
$12K |
| 83986 |
|
985 |
751 |
$2K |
| D9994 |
|
158 |
146 |
$2K |
| J0561 |
Injection, penicillin g benzathine, 100,000 units |
118 |
62 |
$2K |
| Q0111 |
Wet mounts, including preparations of vaginal, cervical or skin specimens |
609 |
583 |
$2K |
| 99401 |
|
105 |
101 |
$2K |
| 99201 |
|
12 |
12 |
$2K |
| S5000 |
Prescription drug, generic |
135 |
127 |
$2K |
| 86701 |
|
232 |
231 |
$1K |
| 86592 |
|
504 |
503 |
$1K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
29 |
29 |
$593.63 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
28 |
28 |
$568.12 |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
95 |
69 |
$416.26 |
| 98960 |
|
1,907 |
1,878 |
$365.70 |
| 81002 |
|
12 |
12 |
$6.88 |