| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
|
6,645 |
6,066 |
$559K |
| J7298 |
Mirena, 52 mg |
495 |
358 |
$439K |
| J7307 |
Etonogestrel implant system |
235 |
217 |
$213K |
| J3490 |
Drugs unclassified injection |
6,528 |
5,299 |
$208K |
| S4993 |
Contraceptive pills for bc |
953 |
951 |
$150K |
| 99202 |
|
1,007 |
961 |
$142K |
| 90651 |
|
430 |
427 |
$120K |
| 99213 |
|
1,159 |
1,132 |
$117K |
| 87806 |
|
4,457 |
3,717 |
$114K |
| 58300 |
|
1,232 |
628 |
$113K |
| 99201 |
|
994 |
893 |
$108K |
| A4267 |
Male condom |
6,139 |
6,112 |
$74K |
| 11981 |
|
238 |
238 |
$53K |
| S0199 |
Med abortion inc all ex drug |
64 |
63 |
$29K |
| S9445 |
Pt education noc individ |
1,670 |
1,670 |
$21K |
| 99211 |
|
325 |
242 |
$18K |
| 81025 |
|
4,423 |
4,347 |
$14K |
| 11976 |
|
201 |
104 |
$13K |
| 58301 |
|
321 |
169 |
$9K |
| 99000 |
|
2,378 |
2,356 |
$9K |
| Q0144 |
Azithromycin dihydrate, oral |
507 |
369 |
$7K |
| 76830 |
|
55 |
54 |
$4K |
| S0190 |
Mifepristone, oral, 200 mg |
48 |
48 |
$3K |
| Q0111 |
Wet mounts/ w preparations |
744 |
736 |
$3K |
| 83986 |
|
764 |
623 |
$2K |
| 76817 |
|
19 |
19 |
$2K |
| T1014 |
Telehealth transmit, per min |
277 |
273 |
$816.02 |
| 81002 |
|
126 |
123 |
$252.78 |
| S0191 |
Misoprostol, oral, 200 mcg |
60 |
60 |
$163.92 |
| G2012 |
Brief check in by md/qhp |
14 |
14 |
$160.99 |
| G9920 |
Scrning perf and negative |
12 |
12 |
$144.71 |
| 87210 |
|
44 |
43 |
$136.05 |
| 85018 |
|
37 |
33 |
$75.87 |
| 86592 |
|
14 |
14 |
$37.86 |