| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
741 |
741 |
$1.26M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,965 |
2,790 |
$873K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
8,294 |
8,093 |
$793K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
2,592 |
2,414 |
$454K |
| Z1034 |
|
7,300 |
5,223 |
$453K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,137 |
2,984 |
$397K |
| J3490 |
Unclassified drugs |
4,043 |
3,553 |
$385K |
| Z1032 |
|
1,649 |
1,649 |
$261K |
| 11981 |
|
622 |
622 |
$251K |
| Z6500 |
|
1,651 |
1,651 |
$205K |
| 58300 |
|
411 |
238 |
$76K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
928 |
928 |
$71K |
| J7300 |
Intrauterine copper contraceptive (paragard) |
27 |
27 |
$69K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
4,853 |
4,853 |
$59K |
| 99402 |
|
1,803 |
1,768 |
$57K |
| 81025 |
|
15,799 |
15,489 |
$49K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
658 |
644 |
$43K |
| Z6400 |
|
3,657 |
3,273 |
$41K |
| 11976 |
|
238 |
238 |
$41K |
| 76813 |
|
289 |
219 |
$29K |
| 99000 |
|
4,289 |
4,284 |
$16K |
| Z6406 |
|
1,372 |
1,207 |
$13K |
| Z6204 |
|
889 |
836 |
$7K |
| Z6304 |
|
643 |
634 |
$5K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
41 |
41 |
$2K |
| Z1038 |
|
24 |
24 |
$1K |
| Z6410 |
|
69 |
56 |
$526.89 |
| Z6414 |
|
25 |
24 |
$370.93 |
| Z6308 |
|
25 |
24 |
$189.25 |
| Z6208 |
|
25 |
24 |
$189.25 |