| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
24,534 |
23,466 |
$1.97M |
| 99214 |
|
9,805 |
9,205 |
$1.26M |
| 99203 |
|
4,336 |
4,235 |
$995K |
| 87806 |
|
34,375 |
29,541 |
$764K |
| 99212 |
|
11,165 |
10,729 |
$660K |
| 99202 |
|
4,422 |
4,122 |
$597K |
| S4993 |
Contraceptive pills for bc |
4,904 |
4,872 |
$556K |
| J7307 |
Etonogestrel implant system |
608 |
578 |
$468K |
| J3490 |
Drugs unclassified injection |
9,824 |
8,522 |
$432K |
| 87491 |
|
13,969 |
13,743 |
$416K |
| 87591 |
|
13,980 |
13,753 |
$380K |
| S0199 |
Med abortion inc all ex drug |
522 |
514 |
$262K |
| 99201 |
|
1,972 |
1,834 |
$174K |
| 99211 |
|
3,384 |
3,338 |
$172K |
| J7304 |
Contraceptive hormone patch |
251 |
246 |
$146K |
| 87661 |
|
6,655 |
6,579 |
$141K |
| 11981 |
|
466 |
466 |
$91K |
| 81025 |
|
26,290 |
25,849 |
$74K |
| 58300 |
|
608 |
377 |
$61K |
| 99000 |
|
17,941 |
17,612 |
$60K |
| J1050 |
Medroxyprogesterone acetate |
668 |
663 |
$53K |
| A4267 |
Male condom |
7,197 |
7,085 |
$51K |
| S9445 |
Pt education noc individ |
2,428 |
2,428 |
$31K |
| J7300 |
Intra copp contra (paragard) |
45 |
41 |
$28K |
| S0190 |
Mifepristone, oral, 200 mg |
380 |
355 |
$23K |
| 83986 |
|
8,799 |
8,122 |
$23K |
| S5000 |
Prescription drug, generic |
3,262 |
3,087 |
$22K |
| 87210 |
|
6,056 |
5,979 |
$17K |
| 99204 |
|
64 |
64 |
$16K |
| J7303 |
Contraceptive vaginal ring |
155 |
153 |
$14K |
| 11976 |
|
138 |
138 |
$12K |
| 76817 |
|
348 |
338 |
$11K |
| J7298 |
Mirena, 52 mg |
12 |
12 |
$9K |
| 58301 |
|
286 |
183 |
$8K |
| J7297 |
Liletta, 52 mg |
12 |
12 |
$8K |
| Q0144 |
Azithromycin dihydrate, oral |
1,353 |
816 |
$8K |
| 86701 |
|
1,337 |
1,045 |
$7K |
| S5199 |
Personal care item nos each |
827 |
819 |
$4K |
| 96372 |
|
94 |
91 |
$2K |
| 81002 |
|
932 |
911 |
$2K |
| 11982 |
|
13 |
13 |
$1K |
| S0191 |
Misoprostol, oral, 200 mcg |
401 |
374 |
$1K |
| 87529 |
|
14 |
13 |
$653.29 |
| 99401 |
|
33 |
33 |
$629.31 |
| J0696 |
Ceftriaxone sodium injection |
142 |
138 |
$405.06 |
| 36415 |
|
1,987 |
1,932 |
$386.61 |
| 85018 |
|
272 |
265 |
$224.30 |
| 86901 |
|
96 |
94 |
$59.06 |
| Q0111 |
Wet mounts/ w preparations |
13 |
13 |
$42.94 |