| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S4993 |
Contraceptive pills for birth control |
1,484 |
1,431 |
$145K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,373 |
3,148 |
$89K |
| A4267 |
Contraceptive supply, condom, male, each |
7,327 |
6,598 |
$88K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
1,118 |
1,109 |
$77K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,127 |
1,111 |
$68K |
| 81025 |
|
2,452 |
2,340 |
$16K |
| 80061 |
Lipid panel |
1,957 |
1,912 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
757 |
749 |
$14K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,114 |
1,100 |
$13K |
| J7304 |
Contraceptive supply, hormone containing patch, each |
27 |
26 |
$11K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,877 |
1,837 |
$9K |
| G0433 |
Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique, hiv-1 and/or hiv-2, screening |
675 |
665 |
$9K |
| 99385 |
|
102 |
101 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
158 |
151 |
$6K |
| A9150 |
Non-prescription drugs |
268 |
258 |
$5K |
| G0475 |
Hiv antigen/antibody, combination assay, screening |
239 |
229 |
$5K |
| 82947 |
|
1,886 |
1,845 |
$4K |
| 81003 |
|
1,643 |
1,598 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
74 |
73 |
$2K |
| 85018 |
|
1,195 |
1,164 |
$2K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
63 |
62 |
$2K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
63 |
62 |
$2K |
| 85014 |
|
913 |
890 |
$2K |
| 87210 |
|
282 |
274 |
$1K |
| 11982 |
|
13 |
12 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
118 |
114 |
$568.07 |
| 90688 |
|
34 |
31 |
$447.01 |
| J3490 |
Unclassified drugs |
607 |
544 |
$0.00 |