| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,668 |
10,076 |
$746K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
573 |
568 |
$477K |
| J3490 |
Unclassified drugs |
9,428 |
7,889 |
$279K |
| S4993 |
Contraceptive pills for birth control |
2,743 |
2,709 |
$238K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,235 |
1,232 |
$232K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,874 |
1,851 |
$206K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,091 |
2,026 |
$197K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,872 |
2,809 |
$174K |
| 11981 |
|
645 |
642 |
$119K |
| 87806 |
|
6,126 |
5,204 |
$111K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
5,578 |
5,334 |
$91K |
| 99401 |
|
3,881 |
3,727 |
$74K |
| 99201 |
|
686 |
666 |
$60K |
| 58300 |
|
629 |
321 |
$47K |
| 11976 |
|
762 |
384 |
$38K |
| J7304 |
Contraceptive supply, hormone containing patch, each |
59 |
59 |
$33K |
| A4267 |
Contraceptive supply, condom, male, each |
4,115 |
4,050 |
$26K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
1,295 |
1,287 |
$24K |
| 58301 |
|
823 |
425 |
$20K |
| 83986 |
|
7,112 |
6,231 |
$16K |
| S5000 |
Prescription drug, generic |
2,296 |
2,165 |
$16K |
| 81025 |
|
6,543 |
6,423 |
$14K |
| Q0111 |
Wet mounts, including preparations of vaginal, cervical or skin specimens |
5,129 |
4,980 |
$14K |
| J7298 |
Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg |
25 |
25 |
$13K |
| 99000 |
|
4,799 |
4,714 |
$11K |
| J7300 |
Intrauterine copper contraceptive (paragard) |
16 |
16 |
$10K |
| 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 |
35 |
35 |
$8K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
2,314 |
2,293 |
$4K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
348 |
348 |
$4K |
| 11982 |
|
247 |
125 |
$4K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
2,284 |
2,263 |
$2K |
| 81002 |
|
1,811 |
1,777 |
$2K |
| J7303 |
Contraceptive supply, hormone containing vaginal ring, each |
16 |
16 |
$2K |
| Q0144 |
Azithromycin dihydrate, oral, capsules/powder, 1 gram |
614 |
564 |
$2K |
| S0190 |
Mifepristone, oral, 200 mg |
46 |
46 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
32 |
31 |
$1K |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
72 |
48 |
$805.85 |
| Q3014 |
Telehealth originating site facility fee |
30 |
29 |
$297.99 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
80 |
76 |
$271.23 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
57 |
55 |
$233.07 |
| 90686 |
|
16 |
16 |
$93.96 |
| Z7610 |
|
13 |
12 |
$92.79 |
| S0191 |
Misoprostol, oral, 200 mcg |
59 |
59 |
$81.15 |
| T1014 |
Telehealth transmission, per minute, professional services bill separately |
30 |
29 |
$30.68 |
| 90630 |
|
14 |
14 |
$24.80 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
67 |
65 |
$0.00 |