| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
27,878 |
26,505 |
$3.76M |
| S4993 |
Contraceptive pills for birth control |
26,938 |
20,741 |
$3.31M |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
1,008 |
981 |
$459K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,685 |
6,027 |
$336K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
4,277 |
4,068 |
$149K |
| A4267 |
Contraceptive supply, condom, male, each |
9,367 |
8,393 |
$147K |
| J7298 |
Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg |
389 |
384 |
$97K |
| S4930 |
|
9,753 |
9,365 |
$97K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,391 |
1,253 |
$65K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
3,699 |
3,595 |
$60K |
| 81025 |
|
5,757 |
5,257 |
$34K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
315 |
309 |
$24K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
263 |
255 |
$18K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
520 |
475 |
$18K |
| J7303 |
Contraceptive supply, hormone containing vaginal ring, each |
548 |
530 |
$17K |
| J7300 |
Intrauterine copper contraceptive (paragard) |
39 |
38 |
$9K |
| 87210 |
|
1,425 |
1,310 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
43 |
41 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
294 |
241 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
686 |
640 |
$3K |
| 86703 |
|
265 |
139 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
86 |
83 |
$1K |
| 83986 |
|
146 |
140 |
$346.15 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$135.44 |
| 36416 |
|
95 |
41 |
$52.80 |
| 55250 |
|
18 |
13 |
$0.00 |