| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
3,973 |
3,357 |
$204K |
| S4993 |
Contraceptive pills for birth control |
2,567 |
2,435 |
$161K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,443 |
2,356 |
$63K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,023 |
1,006 |
$60K |
| 81025 |
|
7,248 |
6,575 |
$44K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,670 |
3,445 |
$40K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,695 |
2,322 |
$39K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
810 |
708 |
$20K |
| 99385 |
|
275 |
272 |
$19K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,106 |
950 |
$11K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
14 |
14 |
$10K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,106 |
951 |
$10K |
| 11982 |
|
82 |
82 |
$9K |
| 87210 |
|
1,268 |
1,236 |
$6K |
| J7303 |
Contraceptive supply, hormone containing vaginal ring, each |
13 |
13 |
$5K |
| J3490 |
Unclassified drugs |
61 |
61 |
$5K |
| 99000 |
|
560 |
553 |
$4K |
| 58301 |
|
37 |
37 |
$3K |
| 87800 |
|
666 |
496 |
$2K |
| 87590 |
|
575 |
428 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
53 |
53 |
$2K |
| 87490 |
|
575 |
429 |
$1K |
| 81002 |
|
219 |
213 |
$619.04 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
43 |
37 |
$412.72 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
20 |
14 |
$224.51 |
| A4267 |
Contraceptive supply, condom, male, each |
34 |
34 |
$45.36 |
| 87660 |
|
166 |
150 |
$16.84 |