| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S4993 |
Contraceptive pills for birth control |
21,035 |
18,495 |
$3.11M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,643 |
5,390 |
$619K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,608 |
7,210 |
$564K |
| 87806 |
|
16,577 |
15,638 |
$391K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
4,054 |
3,918 |
$310K |
| 81025 |
|
14,561 |
13,717 |
$113K |
| 99201 |
|
2,069 |
1,922 |
$91K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,209 |
1,096 |
$87K |
| 99000 |
|
23,435 |
21,532 |
$64K |
| A4550 |
Surgical trays |
1,292 |
1,207 |
$63K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,938 |
3,781 |
$59K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,795 |
2,647 |
$58K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
873 |
835 |
$40K |
| 87210 |
|
8,279 |
5,744 |
$34K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
41 |
37 |
$31K |
| 99050 |
|
2,847 |
2,679 |
$18K |
| 83986 |
|
2,194 |
2,087 |
$8K |
| 58300 |
|
70 |
64 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
902 |
846 |
$3K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
32 |
32 |
$3K |
| Q3014 |
Telehealth originating site facility fee |
123 |
115 |
$2K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
79 |
70 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
28 |
28 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
25 |
25 |
$2K |
| 11981 |
|
13 |
13 |
$2K |
| A4268 |
Contraceptive supply, condom, female, each |
29 |
26 |
$1K |
| A4267 |
Contraceptive supply, condom, male, each |
75 |
68 |
$438.77 |
| 81000 |
|
15 |
13 |
$57.82 |
| 81002 |
|
12 |
12 |
$40.80 |