| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,611 |
2,418 |
$149K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
162 |
159 |
$135K |
| S4993 |
Contraceptive pills for birth control |
626 |
612 |
$122K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
2,327 |
2,285 |
$95K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
2,325 |
2,283 |
$89K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
793 |
785 |
$59K |
| J3490 |
Unclassified drugs |
2,036 |
1,962 |
$54K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
876 |
844 |
$29K |
| A4267 |
Contraceptive supply, condom, male, each |
1,352 |
1,307 |
$16K |
| 87806 |
|
610 |
598 |
$15K |
| 81025 |
|
3,382 |
3,178 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
46 |
45 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
198 |
196 |
$6K |
| 90651 |
|
16 |
16 |
$4K |
| 90674 |
|
103 |
94 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
25 |
24 |
$3K |
| Q0111 |
Wet mounts, including preparations of vaginal, cervical or skin specimens |
663 |
653 |
$3K |
| 99000 |
|
650 |
634 |
$2K |
| 83986 |
|
664 |
654 |
$2K |
| 96156 |
|
29 |
27 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
69 |
69 |
$2K |
| 81002 |
|
162 |
161 |
$368.08 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
138 |
136 |
$339.25 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
43 |
38 |
$218.13 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
28 |
28 |
$137.07 |
| 85018 |
|
14 |
14 |
$18.24 |
| S5000 |
Prescription drug, generic |
754 |
692 |
$2.51 |