| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,972 |
4,798 |
$552K |
| S0199 |
Medically induced abortion by oral ingestion of medication including all associated services and supplies (e.g., patient counseling, office visits, confirmation of pregnancy by hcg, ultrasound to confirm duration of pregnancy, ultrasound to confirm completion of abortion) except drugs |
540 |
539 |
$400K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,126 |
4,012 |
$332K |
| S4993 |
Contraceptive pills for birth control |
2,570 |
2,559 |
$307K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,788 |
1,761 |
$296K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,904 |
1,899 |
$284K |
| J3490 |
Unclassified drugs |
6,825 |
5,719 |
$271K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
5,171 |
5,070 |
$225K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
214 |
214 |
$188K |
| 87806 |
|
6,736 |
5,852 |
$173K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
570 |
566 |
$150K |
| 99201 |
|
625 |
621 |
$61K |
| 11981 |
|
246 |
246 |
$55K |
| 58300 |
|
345 |
175 |
$36K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
349 |
336 |
$32K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
948 |
937 |
$29K |
| A4267 |
Contraceptive supply, condom, male, each |
2,515 |
2,502 |
$28K |
| S0190 |
Mifepristone, oral, 200 mg |
479 |
478 |
$27K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
85 |
85 |
$26K |
| 11976 |
|
354 |
189 |
$26K |
| 99000 |
|
4,947 |
4,866 |
$18K |
| T1999 |
Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" |
2,707 |
2,030 |
$17K |
| 81025 |
|
4,723 |
4,646 |
$14K |
| 99401 |
|
600 |
599 |
$11K |
| J7304 |
Contraceptive supply, hormone containing patch, each |
12 |
12 |
$10K |
| Q0111 |
Wet mounts, including preparations of vaginal, cervical or skin specimens |
2,641 |
2,571 |
$10K |
| 83986 |
|
3,287 |
2,818 |
$10K |
| S5000 |
Prescription drug, generic |
1,125 |
1,043 |
$9K |
| Q3014 |
Telehealth originating site facility fee |
278 |
274 |
$7K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
390 |
390 |
$5K |
| 59840 |
|
24 |
12 |
$5K |
| 58301 |
|
81 |
41 |
$3K |
| 99402 |
|
60 |
60 |
$2K |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
119 |
115 |
$2K |
| S0191 |
Misoprostol, oral, 200 mcg |
541 |
534 |
$2K |
| Q0144 |
Azithromycin dihydrate, oral, capsules/powder, 1 gram |
226 |
205 |
$1K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
82 |
82 |
$1K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
82 |
82 |
$933.60 |
| 81002 |
|
468 |
460 |
$843.74 |
| T1014 |
Telehealth transmission, per minute, professional services bill separately |
269 |
265 |
$631.66 |
| 85018 |
|
166 |
163 |
$356.32 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
25 |
25 |
$120.21 |
| 86901 |
|
12 |
12 |
$30.12 |