| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S4993 |
Contraceptive pills for birth control |
1,375 |
1,007 |
$249K |
| T1015 |
Clinic visit/encounter, all-inclusive |
1,083 |
1,041 |
$134K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
554 |
490 |
$26K |
| A4267 |
Contraceptive supply, condom, male, each |
446 |
427 |
$15K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
178 |
167 |
$9K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
103 |
98 |
$7K |
| 81025 |
|
859 |
775 |
$5K |
| 87210 |
|
324 |
307 |
$1K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
25 |
20 |
$1K |
| 81002 |
|
110 |
103 |
$259.66 |