| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
3,433 |
3,294 |
$278K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,289 |
3,882 |
$172K |
| 99403 |
|
2,804 |
2,713 |
$150K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,563 |
2,394 |
$145K |
| A4268 |
Contraceptive supply, condom, female, each |
4,905 |
4,464 |
$68K |
| S4993 |
Contraceptive pills for birth control |
1,505 |
1,375 |
$61K |
| 99215 |
Prolong outpt/office vis |
653 |
643 |
$58K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
365 |
330 |
$26K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,010 |
1,936 |
$26K |
| 99205 |
Prolong outpt/office vis |
207 |
205 |
$23K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
650 |
593 |
$19K |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
460 |
422 |
$17K |
| A4267 |
Contraceptive supply, condom, male, each |
3,837 |
3,370 |
$16K |
| 81025 |
|
1,813 |
1,692 |
$11K |
| 87210 |
|
1,655 |
1,572 |
$6K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
904 |
821 |
$2K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
863 |
780 |
$2K |
| 81002 |
|
15 |
13 |
$29.16 |