| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S4993 |
Contraceptive pills for birth control |
2,697 |
2,328 |
$383K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,315 |
1,215 |
$147K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,134 |
1,039 |
$85K |
| 87806 |
|
2,794 |
2,504 |
$75K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,965 |
2,736 |
$31K |
| 81025 |
|
1,857 |
1,656 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
282 |
269 |
$14K |
| 90651 |
|
54 |
46 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
75 |
65 |
$7K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
155 |
147 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
1,804 |
1,611 |
$4K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
50 |
39 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
76 |
64 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
12 |
$1K |
| 99050 |
|
129 |
126 |
$933.19 |
| 87210 |
|
134 |
65 |
$704.88 |
| A4550 |
Surgical trays |
58 |
50 |
$574.60 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
32 |
30 |
$566.03 |
| 85018 |
|
202 |
183 |
$452.43 |
| 83986 |
|
67 |
65 |
$232.06 |