| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
|
24,461 |
22,849 |
$1.31M |
| J7307 |
Etonogestrel implant system |
1,092 |
965 |
$1.07M |
| J7298 |
Mirena, 52 mg |
1,331 |
1,053 |
$1.05M |
| J3490 |
Drugs unclassified injection |
13,794 |
12,541 |
$717K |
| S0199 |
Med abortion inc all ex drug |
1,858 |
1,824 |
$673K |
| 58300 |
|
3,929 |
1,992 |
$401K |
| S4993 |
Contraceptive pills for bc |
2,717 |
2,689 |
$354K |
| A4267 |
Male condom |
14,313 |
14,198 |
$301K |
| 90651 |
|
1,325 |
1,322 |
$293K |
| 99202 |
|
2,483 |
2,368 |
$267K |
| 87491 |
|
7,440 |
7,379 |
$223K |
| 11981 |
|
908 |
887 |
$196K |
| 59840 |
|
1,180 |
703 |
$188K |
| 87591 |
|
7,411 |
7,344 |
$135K |
| G9920 |
Scrning perf and negative |
3,031 |
3,014 |
$81K |
| 76830 |
|
1,403 |
1,391 |
$71K |
| S0190 |
Mifepristone, oral, 200 mg |
1,223 |
1,220 |
$69K |
| Q0144 |
Azithromycin dihydrate, oral |
2,420 |
2,194 |
$65K |
| 76815 |
|
1,196 |
1,166 |
$60K |
| 58301 |
|
1,604 |
826 |
$59K |
| 87806 |
|
3,412 |
3,342 |
$58K |
| 11976 |
|
1,034 |
537 |
$54K |
| 99000 |
|
2,714 |
2,704 |
$52K |
| 99213 |
|
1,511 |
1,487 |
$48K |
| 99211 |
|
823 |
741 |
$46K |
| 57454 |
|
658 |
342 |
$38K |
| J7296 |
Kyleena, 19.5 mg |
24 |
24 |
$38K |
| 01966 |
|
979 |
969 |
$36K |
| 76817 |
|
484 |
456 |
$32K |
| J7300 |
Intra copp contra (paragard) |
39 |
39 |
$28K |
| 87661 |
|
1,530 |
1,520 |
$23K |
| 81025 |
|
7,720 |
7,323 |
$23K |
| 85018 |
|
794 |
784 |
$22K |
| 87799 |
|
1,125 |
1,119 |
$21K |
| 87481 |
|
1,127 |
1,121 |
$19K |
| S9445 |
Pt education noc individ |
786 |
786 |
$10K |
| T1014 |
Telehealth transmit, per min |
3,811 |
3,751 |
$10K |
| S0191 |
Misoprostol, oral, 200 mcg |
1,191 |
1,183 |
$8K |
| 87563 |
|
299 |
299 |
$7K |
| 57460 |
|
54 |
27 |
$6K |
| G2012 |
Brief check in by md/qhp |
528 |
511 |
$5K |
| 99201 |
|
48 |
48 |
$5K |
| 59841 |
|
20 |
12 |
$5K |
| 57455 |
|
75 |
40 |
$4K |
| 99152 |
|
60 |
60 |
$3K |
| Q0111 |
Wet mounts/ w preparations |
251 |
250 |
$857.70 |
| 83986 |
|
271 |
269 |
$788.02 |
| 86703 |
|
17 |
17 |
$203.32 |
| 86901 |
|
13 |
12 |
$49.32 |
| 86592 |
|
136 |
136 |
$45.64 |