| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
4,852 |
4,764 |
$448K |
| S4993 |
Contraceptive pills for birth control |
5,319 |
4,664 |
$381K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,996 |
5,792 |
$359K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,370 |
3,229 |
$301K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
2,151 |
2,067 |
$225K |
| 87806 |
|
6,396 |
6,222 |
$196K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
181 |
178 |
$157K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
2,540 |
2,463 |
$155K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,457 |
3,347 |
$133K |
| S0190 |
Mifepristone, oral, 200 mg |
1,600 |
1,573 |
$128K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
5,364 |
5,233 |
$91K |
| 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 |
560 |
555 |
$80K |
| S2260 |
Induced abortion, 17 to 24 weeks |
324 |
315 |
$75K |
| 81025 |
|
9,076 |
8,776 |
$72K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
715 |
698 |
$70K |
| 99201 |
|
1,691 |
1,637 |
$59K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
416 |
410 |
$58K |
| 58300 |
|
149 |
145 |
$33K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,733 |
1,677 |
$24K |
| 11982 |
|
112 |
110 |
$24K |
| 87210 |
|
3,881 |
2,412 |
$21K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,117 |
1,086 |
$20K |
| 36415 |
Collection of venous blood by venipuncture |
2,350 |
2,240 |
$14K |
| 11981 |
|
92 |
92 |
$11K |
| S0191 |
Misoprostol, oral, 200 mcg |
1,828 |
1,702 |
$5K |
| 83986 |
|
1,410 |
1,369 |
$5K |
| 96127 |
|
1,367 |
1,321 |
$4K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
371 |
364 |
$4K |
| Q3014 |
Telehealth originating site facility fee |
113 |
111 |
$3K |
| 85018 |
|
986 |
946 |
$2K |
| 86901 |
|
692 |
663 |
$2K |
| 99152 |
|
25 |
25 |
$1K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
97 |
96 |
$902.00 |
| S0119 |
Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) |
1,172 |
1,156 |
$744.50 |
| 99459 |
|
38 |
38 |
$701.71 |
| 36416 |
|
286 |
259 |
$668.88 |
| 99000 |
|
3,159 |
2,905 |
$524.14 |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
12 |
12 |
$375.74 |
| A4550 |
Surgical trays |
180 |
169 |
$48.75 |
| 81002 |
|
12 |
12 |
$36.43 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
37 |
37 |
$26.93 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
37 |
37 |
$10.00 |
| 59840 |
|
44 |
39 |
$0.00 |