| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,769 |
10,401 |
$1.49M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,732 |
10,245 |
$1.02M |
| J3490 |
Unclassified drugs |
21,713 |
19,028 |
$702K |
| 87806 |
|
22,329 |
19,040 |
$550K |
| S4993 |
Contraceptive pills for birth control |
4,267 |
4,218 |
$454K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,717 |
6,507 |
$444K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,711 |
1,654 |
$415K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
8,544 |
7,888 |
$399K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
2,007 |
1,988 |
$282K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
333 |
333 |
$276K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
806 |
806 |
$202K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
4,657 |
4,646 |
$145K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
4,657 |
4,646 |
$144K |
| 90651 |
|
467 |
467 |
$100K |
| 11981 |
|
326 |
326 |
$71K |
| 81025 |
|
24,187 |
23,771 |
$68K |
| 99000 |
|
14,624 |
14,485 |
$58K |
| A4267 |
Contraceptive supply, condom, male, each |
6,980 |
6,962 |
$49K |
| 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 |
81 |
81 |
$44K |
| J7304 |
Contraceptive supply, hormone containing patch, each |
76 |
76 |
$43K |
| S5000 |
Prescription drug, generic |
10,046 |
8,584 |
$41K |
| 99201 |
|
369 |
355 |
$39K |
| 83986 |
|
11,610 |
10,223 |
$33K |
| 11976 |
|
580 |
294 |
$32K |
| 90837 |
Psychotherapy, 53 minutes with patient |
270 |
111 |
$28K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
1,929 |
1,929 |
$25K |
| 58300 |
|
194 |
98 |
$19K |
| Q0111 |
Wet mounts, including preparations of vaginal, cervical or skin specimens |
5,212 |
5,147 |
$19K |
| 57454 |
|
321 |
163 |
$18K |
| 82120 |
|
4,400 |
4,288 |
$16K |
| S5199 |
Personal care item, nos, each |
6,037 |
6,009 |
$11K |
| Q0144 |
Azithromycin dihydrate, oral, capsules/powder, 1 gram |
1,620 |
1,405 |
$9K |
| 87210 |
|
2,692 |
2,650 |
$9K |
| J7298 |
Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg |
12 |
12 |
$8K |
| J7303 |
Contraceptive supply, hormone containing vaginal ring, each |
57 |
57 |
$7K |
| 90791 |
Psychiatric diagnostic evaluation |
36 |
28 |
$6K |
| 81002 |
|
2,907 |
2,859 |
$6K |
| S0190 |
Mifepristone, oral, 200 mg |
79 |
79 |
$5K |
| 58301 |
|
167 |
84 |
$5K |
| 99401 |
|
208 |
208 |
$4K |
| 90832 |
Psychotherapy, 30 minutes with patient |
32 |
31 |
$2K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
154 |
144 |
$800.61 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
12 |
12 |
$783.79 |
| S0191 |
Misoprostol, oral, 200 mcg |
93 |
93 |
$272.75 |
| 85018 |
|
54 |
53 |
$98.95 |