| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
|
6,928 |
6,468 |
$665K |
| Z1034 |
|
5,389 |
3,158 |
$333K |
| 99213 |
|
1,525 |
1,111 |
$167K |
| 99203 |
|
566 |
515 |
$152K |
| J3490 |
Unclassified drugs |
2,012 |
1,712 |
$136K |
| 99211 |
|
1,988 |
1,846 |
$124K |
| Z1032 |
|
498 |
498 |
$81K |
| 99202 |
|
382 |
382 |
$65K |
| 99214 |
|
315 |
202 |
$51K |
| Z6410 |
|
6,527 |
3,536 |
$50K |
| A4267 |
Contraceptive supply, condom, male, each |
2,283 |
2,279 |
$31K |
| Z6204 |
|
3,979 |
2,545 |
$30K |
| Z6406 |
|
3,975 |
2,545 |
$30K |
| Z6500 |
|
224 |
224 |
$28K |
| Z6304 |
|
2,909 |
1,711 |
$22K |
| Z6400 |
|
544 |
538 |
$17K |
| 81025 |
|
4,478 |
4,435 |
$14K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
1,026 |
1,026 |
$13K |
| 99000 |
|
2,903 |
2,478 |
$10K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
969 |
667 |
$5K |
| Z1038 |
|
12 |
12 |
$664.06 |
| Z6308 |
|
12 |
12 |
$554.02 |
| Z6414 |
|
12 |
12 |
$369.40 |
| Z6208 |
|
12 |
12 |
$369.40 |
| Q0111 |
Wet mounts, including preparations of vaginal, cervical or skin specimens |
316 |
314 |
$229.88 |
| 81002 |
|
54 |
54 |
$94.43 |