| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,027 |
2,925 |
$396K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,308 |
2,233 |
$217K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
911 |
906 |
$139K |
| S4993 |
Contraceptive pills for birth control |
934 |
929 |
$112K |
| J3490 |
Unclassified drugs |
4,044 |
3,128 |
$110K |
| 87806 |
|
3,173 |
2,392 |
$70K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,666 |
2,541 |
$57K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
169 |
166 |
$44K |
| 99201 |
|
392 |
391 |
$41K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
41 |
41 |
$33K |
| 99402 |
|
888 |
884 |
$28K |
| 58300 |
|
311 |
161 |
$28K |
| 99401 |
|
1,281 |
1,223 |
$24K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
321 |
312 |
$22K |
| A4267 |
Contraceptive supply, condom, male, each |
2,020 |
1,987 |
$18K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
1,161 |
1,161 |
$15K |
| 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 |
28 |
28 |
$11K |
| 83986 |
|
3,563 |
3,099 |
$9K |
| J7304 |
Contraceptive supply, hormone containing patch, each |
12 |
12 |
$9K |
| S5000 |
Prescription drug, generic |
1,349 |
1,199 |
$9K |
| J7300 |
Intrauterine copper contraceptive (paragard) |
12 |
12 |
$8K |
| Q0111 |
Wet mounts, including preparations of vaginal, cervical or skin specimens |
2,542 |
2,432 |
$7K |
| 99403 |
|
142 |
142 |
$6K |
| 11981 |
|
29 |
29 |
$6K |
| 81025 |
|
2,257 |
2,182 |
$5K |
| 99000 |
|
1,582 |
1,571 |
$5K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
121 |
113 |
$5K |
| 58301 |
|
176 |
93 |
$5K |
| Q3014 |
Telehealth originating site facility fee |
210 |
205 |
$4K |
| J7303 |
Contraceptive supply, hormone containing vaginal ring, each |
14 |
14 |
$4K |
| Q0144 |
Azithromycin dihydrate, oral, capsules/powder, 1 gram |
532 |
498 |
$2K |
| 99070 |
|
294 |
197 |
$2K |
| 11976 |
|
46 |
27 |
$2K |
| 81002 |
|
496 |
485 |
$781.88 |
| T1014 |
Telehealth transmission, per minute, professional services bill separately |
200 |
196 |
$589.69 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
17 |
16 |
$369.75 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
16 |
15 |
$339.78 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
58 |
57 |
$334.17 |
| S0191 |
Misoprostol, oral, 200 mcg |
29 |
29 |
$60.92 |