| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,763 |
7,308 |
$1.42M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,196 |
8,766 |
$1.09M |
| 87806 |
|
25,528 |
21,139 |
$697K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,379 |
2,308 |
$655K |
| S4993 |
Contraceptive pills for birth control |
5,071 |
5,037 |
$597K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,600 |
6,422 |
$577K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,474 |
1,472 |
$493K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
2,970 |
2,911 |
$489K |
| J3490 |
Unclassified drugs |
11,696 |
10,279 |
$432K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
5,570 |
5,043 |
$323K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
374 |
374 |
$290K |
| 99201 |
|
2,271 |
2,110 |
$248K |
| 90651 |
|
558 |
556 |
$127K |
| J7298 |
Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg |
184 |
184 |
$113K |
| 58300 |
|
1,063 |
548 |
$97K |
| 11981 |
|
378 |
377 |
$84K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
5,617 |
5,617 |
$71K |
| 99000 |
|
16,543 |
16,429 |
$70K |
| 81025 |
|
18,780 |
18,407 |
$61K |
| J7304 |
Contraceptive supply, hormone containing patch, each |
91 |
91 |
$57K |
| S5000 |
Prescription drug, generic |
8,023 |
7,361 |
$55K |
| 83986 |
|
11,219 |
9,444 |
$35K |
| 11976 |
|
569 |
290 |
$33K |
| A4267 |
Contraceptive supply, condom, male, each |
2,943 |
2,937 |
$26K |
| Q0111 |
Wet mounts, including preparations of vaginal, cervical or skin specimens |
5,691 |
5,592 |
$21K |
| J7300 |
Intrauterine copper contraceptive (paragard) |
26 |
26 |
$15K |
| 99401 |
|
751 |
731 |
$14K |
| J7303 |
Contraceptive supply, hormone containing vaginal ring, each |
130 |
128 |
$13K |
| 57454 |
|
216 |
110 |
$12K |
| 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 |
24 |
24 |
$10K |
| 82120 |
|
1,797 |
1,734 |
$9K |
| S5199 |
Personal care item, nos, each |
2,309 |
2,305 |
$7K |
| 58301 |
|
238 |
123 |
$6K |
| Q0144 |
Azithromycin dihydrate, oral, capsules/powder, 1 gram |
1,036 |
869 |
$6K |
| 87210 |
|
1,214 |
1,193 |
$6K |
| 81002 |
|
1,993 |
1,961 |
$4K |
| 57452 |
|
82 |
41 |
$3K |
| S0190 |
Mifepristone, oral, 200 mg |
12 |
12 |
$729.22 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
73 |
42 |
$358.83 |
| 85018 |
|
25 |
25 |
$51.49 |
| S0191 |
Misoprostol, oral, 200 mcg |
15 |
14 |
$41.27 |
| T1999 |
Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" |
14 |
13 |
$9.08 |