| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1001 |
Nursing assessment / evaluation |
27,091 |
26,913 |
$1.30M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,329 |
17,286 |
$1.27M |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
721 |
721 |
$318K |
| 81025 |
|
26,531 |
26,318 |
$200K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,704 |
1,704 |
$168K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
10,627 |
10,626 |
$163K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,751 |
2,730 |
$122K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
577 |
577 |
$68K |
| 11981 |
|
518 |
518 |
$58K |
| 99406 |
|
3,671 |
3,624 |
$48K |
| 11982 |
|
262 |
262 |
$32K |
| S4993 |
Contraceptive pills for birth control |
4,419 |
4,264 |
$25K |
| A4267 |
Contraceptive supply, condom, male, each |
16,411 |
16,310 |
$15K |
| 87210 |
|
1,713 |
1,701 |
$9K |
| 36415 |
Collection of venous blood by venipuncture |
1,557 |
1,557 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
42 |
42 |
$6K |
| 58300 |
|
52 |
52 |
$4K |
| J7297 |
Levonorgestrel-releasing intrauterine contraceptive system (liletta), 52 mg |
26 |
26 |
$3K |
| 11983 |
|
13 |
13 |
$2K |
| 58301 |
|
13 |
13 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
53 |
53 |
$966.72 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
14 |
14 |
$964.40 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
30 |
30 |
$615.72 |
| 96127 |
|
46 |
46 |
$187.04 |
| J7303 |
Contraceptive supply, hormone containing vaginal ring, each |
14 |
14 |
$113.28 |
| 85018 |
|
12 |
12 |
$27.71 |