| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,670 |
7,747 |
$818K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,362 |
2,926 |
$516K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,744 |
6,471 |
$446K |
| J3490 |
Unclassified drugs |
8,075 |
7,029 |
$303K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
2,022 |
1,955 |
$271K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
933 |
835 |
$200K |
| S4993 |
Contraceptive pills for birth control |
1,556 |
1,532 |
$94K |
| 58300 |
|
516 |
258 |
$66K |
| 99201 |
|
411 |
406 |
$44K |
| 81025 |
|
10,078 |
9,616 |
$33K |
| J7303 |
Contraceptive supply, hormone containing vaginal ring, each |
194 |
194 |
$24K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
1,787 |
1,786 |
$23K |
| 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 |
28 |
28 |
$15K |
| A4267 |
Contraceptive supply, condom, male, each |
5,265 |
5,233 |
$14K |
| Q3014 |
Telehealth originating site facility fee |
399 |
391 |
$9K |
| Q0144 |
Azithromycin dihydrate, oral, capsules/powder, 1 gram |
646 |
521 |
$6K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
84 |
82 |
$6K |
| 59840 |
|
28 |
14 |
$5K |
| 11976 |
|
31 |
16 |
$3K |
| 83986 |
|
1,088 |
1,035 |
$3K |
| S0190 |
Mifepristone, oral, 200 mg |
46 |
46 |
$3K |
| 87210 |
|
840 |
829 |
$3K |
| 11981 |
|
12 |
12 |
$3K |
| 58301 |
|
45 |
25 |
$2K |
| 81005 |
|
905 |
865 |
$1K |
| 81002 |
|
464 |
460 |
$973.16 |
| T1014 |
Telehealth transmission, per minute, professional services bill separately |
400 |
392 |
$633.94 |
| 99401 |
|
19 |
19 |
$362.33 |
| S0191 |
Misoprostol, oral, 200 mcg |
67 |
65 |
$187.85 |
| 85018 |
|
86 |
85 |
$155.14 |