| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
|
5,604 |
5,217 |
$355K |
| J7307 |
Etonogestrel implant system |
158 |
157 |
$162K |
| J3490 |
Drugs unclassified injection |
3,197 |
2,610 |
$99K |
| 99213 |
|
1,099 |
1,080 |
$97K |
| 87806 |
|
3,308 |
2,946 |
$74K |
| 87491 |
|
2,326 |
2,056 |
$67K |
| J7304 |
Contraceptive hormone patch |
30 |
30 |
$66K |
| 87591 |
|
2,315 |
2,047 |
$55K |
| S0199 |
Med abortion inc all ex drug |
111 |
110 |
$47K |
| S4993 |
Contraceptive pills for bc |
285 |
283 |
$43K |
| A4267 |
Male condom |
3,274 |
3,253 |
$42K |
| 11981 |
|
155 |
155 |
$38K |
| 99202 |
|
316 |
316 |
$38K |
| 99211 |
|
583 |
537 |
$35K |
| 58300 |
|
307 |
159 |
$31K |
| 99203 |
|
152 |
152 |
$27K |
| 81025 |
|
6,460 |
5,833 |
$19K |
| 99214 |
|
75 |
74 |
$10K |
| 87661 |
|
345 |
314 |
$9K |
| 76830 |
|
131 |
131 |
$8K |
| 11976 |
|
139 |
79 |
$7K |
| 58301 |
|
140 |
72 |
$5K |
| 87799 |
|
177 |
148 |
$5K |
| 87481 |
|
158 |
136 |
$4K |
| 99201 |
|
37 |
37 |
$4K |
| G9920 |
Scrning perf and negative |
166 |
166 |
$3K |
| S9445 |
Pt education noc individ |
247 |
247 |
$3K |
| T1014 |
Telehealth transmit, per min |
1,109 |
1,099 |
$2K |
| 99000 |
|
542 |
541 |
$2K |
| G2012 |
Brief check in by md/qhp |
46 |
46 |
$558.98 |
| S0190 |
Mifepristone, oral, 200 mg |
13 |
13 |
$554.11 |
| Q0111 |
Wet mounts/ w preparations |
136 |
134 |
$478.59 |
| 87563 |
|
29 |
29 |
$447.40 |
| 81002 |
|
182 |
179 |
$339.55 |
| 86592 |
|
100 |
100 |
$259.64 |
| S0191 |
Misoprostol, oral, 200 mcg |
12 |
12 |
$10.30 |