| Code | Description | Claims | Beneficiaries | Total Paid |
| 0520 |
|
31,983 |
13,759 |
$4.56M |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
549 |
531 |
$865K |
| J3490 |
Unclassified drugs |
8,660 |
7,318 |
$631K |
| 0514 |
|
2,229 |
1,236 |
$597K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,258 |
3,207 |
$442K |
| S4993 |
Contraceptive pills for birth control |
1,831 |
1,818 |
$234K |
| 0510 |
|
749 |
718 |
$224K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
924 |
911 |
$197K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,191 |
3,174 |
$189K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,916 |
1,876 |
$188K |
| 11981 |
|
445 |
437 |
$167K |
| 87806 |
|
6,098 |
5,212 |
$155K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
597 |
589 |
$98K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
328 |
327 |
$92K |
| 0300 |
|
12,137 |
7,971 |
$90K |
| J7304 |
Contraceptive supply, hormone containing patch, each |
85 |
81 |
$87K |
| 11976 |
|
878 |
432 |
$78K |
| 99201 |
|
315 |
314 |
$40K |
| 90651 |
|
109 |
109 |
$29K |
| 0270 |
|
2,699 |
2,286 |
$28K |
| A4267 |
Contraceptive supply, condom, male, each |
3,692 |
3,679 |
$28K |
| 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 |
47 |
47 |
$26K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
1,776 |
1,776 |
$23K |
| 81025 |
|
6,287 |
6,158 |
$22K |
| 86780 |
|
1,841 |
1,788 |
$20K |
| 0320 |
|
211 |
207 |
$20K |
| S0190 |
Mifepristone, oral, 200 mg |
316 |
297 |
$19K |
| 58300 |
|
66 |
39 |
$19K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
680 |
646 |
$18K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
663 |
629 |
$17K |
| 59840 |
|
85 |
52 |
$16K |
| S5000 |
Prescription drug, generic |
1,424 |
1,292 |
$15K |
| 86703 |
|
1,162 |
968 |
$12K |
| 86803 |
|
619 |
584 |
$8K |
| 87808 |
|
686 |
681 |
$7K |
| 83986 |
|
2,246 |
1,902 |
$6K |
| Q0111 |
Wet mounts, including preparations of vaginal, cervical or skin specimens |
842 |
828 |
$3K |
| 99402 |
|
61 |
61 |
$2K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
45 |
45 |
$2K |
| Q0144 |
Azithromycin dihydrate, oral, capsules/powder, 1 gram |
333 |
245 |
$2K |
| 58301 |
|
25 |
13 |
$807.70 |
| 0370 |
|
24 |
24 |
$442.56 |
| S0191 |
Misoprostol, oral, 200 mcg |
370 |
344 |
$290.09 |
| 99152 |
|
12 |
12 |
$221.28 |
| 85018 |
|
46 |
46 |
$102.02 |
| 81002 |
|
37 |
37 |
$63.64 |
| 86592 |
|
12 |
12 |
$40.69 |
| S0119 |
Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) |
27 |
27 |
$31.25 |