| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59840 |
|
3,197 |
3,162 |
$1.92M |
| 99212 |
|
8,204 |
4,661 |
$1.39M |
| 99213 |
|
11,009 |
7,291 |
$1.19M |
| 76856 |
|
3,263 |
2,700 |
$743K |
| 76815 |
|
7,260 |
6,710 |
$584K |
| 90791 |
|
4,375 |
4,179 |
$582K |
| 76998 |
|
3,812 |
3,683 |
$518K |
| 96365 |
|
3,743 |
3,305 |
$398K |
| 59841 |
|
455 |
430 |
$262K |
| 81025 |
|
10,627 |
8,777 |
$248K |
| 99214 |
|
2,124 |
1,774 |
$247K |
| 90832 |
|
2,614 |
2,518 |
$216K |
| 99203 |
|
2,058 |
740 |
$189K |
| 59200 |
|
518 |
365 |
$156K |
| 99202 |
|
839 |
501 |
$74K |
| 76817 |
|
873 |
799 |
$74K |
| 76830 |
|
655 |
619 |
$67K |
| 90834 |
|
464 |
174 |
$63K |
| 99395 |
|
253 |
216 |
$31K |
| 76801 |
|
292 |
283 |
$28K |
| 36415 |
|
6,846 |
6,270 |
$24K |
| 99051 |
|
1,672 |
1,511 |
$22K |
| 99385 |
|
120 |
96 |
$16K |
| 99000 |
|
1,092 |
1,078 |
$12K |
| 96372 |
|
1,019 |
757 |
$9K |
| J1050 |
Medroxyprogesterone acetate |
186 |
186 |
$9K |
| 59820 |
|
12 |
12 |
$7K |
| H0033 |
Oral med adm direct observe |
274 |
263 |
$6K |
| S0190 |
Mifepristone, oral, 200 mg |
411 |
411 |
$6K |
| 87811 |
|
311 |
296 |
$6K |
| 96375 |
|
272 |
253 |
$5K |
| 99201 |
|
44 |
25 |
$4K |
| 96127 |
|
911 |
885 |
$3K |
| 99204 |
|
29 |
29 |
$2K |
| 85018 |
|
852 |
839 |
$2K |
| 96160 |
|
737 |
733 |
$2K |
| 76857 |
|
14 |
14 |
$2K |
| 99459 |
|
160 |
158 |
$768.05 |
| S0191 |
Misoprostol, oral, 200 mcg |
512 |
495 |
$643.83 |
| Q0091 |
Obtaining screen pap smear |
53 |
53 |
$505.78 |
| T1013 |
Sign lang/oral interpreter |
45 |
43 |
$489.23 |
| 81002 |
|
313 |
238 |
$485.41 |
| 36416 |
|
558 |
524 |
$468.94 |
| 96374 |
|
56 |
55 |
$190.00 |
| Q0144 |
Azithromycin dihydrate, oral |
36 |
35 |
$148.56 |
| J2704 |
Inj, propofol, 10 mg |
209 |
200 |
$100.95 |
| 81420 |
|
19 |
18 |
$80.00 |
| 99401 |
|
18 |
16 |
$42.26 |
| 3292F |
|
14 |
14 |
$37.50 |
| J2210 |
Methylergonovin maleate inj |
28 |
28 |
$19.60 |
| 82962 |
|
27 |
27 |
$15.48 |
| J2001 |
Lidocaine injection |
175 |
167 |
$3.42 |
| 87110 |
|
106 |
104 |
$0.00 |