| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
23,295 |
19,454 |
$975K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,477 |
15,165 |
$686K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,484 |
5,517 |
$423K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
10,767 |
8,921 |
$271K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
7,050 |
5,908 |
$248K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
24,562 |
20,384 |
$220K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
221 |
189 |
$136K |
| 81025 |
|
24,103 |
20,026 |
$125K |
| 86703 |
|
12,008 |
10,056 |
$89K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,628 |
1,322 |
$77K |
| 87210 |
|
17,481 |
14,435 |
$61K |
| 99000 |
|
24,848 |
20,972 |
$60K |
| 99201 |
|
2,802 |
2,260 |
$55K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
500 |
441 |
$41K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
2,654 |
2,085 |
$22K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
521 |
450 |
$20K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
2,495 |
1,968 |
$20K |
| 36416 |
|
7,325 |
5,951 |
$12K |
| 11981 |
|
135 |
112 |
$7K |
| 83986 |
|
2,325 |
2,016 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
1,917 |
1,565 |
$5K |
| 82120 |
|
1,640 |
1,547 |
$5K |
| 82128 |
|
474 |
411 |
$5K |
| 58300 |
|
200 |
165 |
$3K |
| 81002 |
|
1,240 |
1,051 |
$3K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
246 |
219 |
$911.80 |
| 11982 |
|
47 |
45 |
$722.85 |
| 99459 |
|
52 |
52 |
$690.77 |
| J7298 |
Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg |
72 |
58 |
$680.83 |
| S4993 |
Contraceptive pills for birth control |
26 |
15 |
$105.00 |
| 85018 |
|
63 |
45 |
$62.34 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
32 |
19 |
$0.00 |
| 88142 |
|
118 |
99 |
$0.00 |
| 99385 |
|
14 |
12 |
$0.00 |