| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
97 |
97 |
$83K |
| S4993 |
Contraceptive pills for birth control |
258 |
257 |
$53K |
| 99214 |
|
729 |
684 |
$43K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
333 |
333 |
$25K |
| 87491 |
|
738 |
736 |
$25K |
| J3490 |
Unclassified drugs |
863 |
838 |
$23K |
| 87591 |
|
734 |
732 |
$22K |
| J7304 |
Contraceptive supply, hormone containing patch, each |
12 |
12 |
$16K |
| 99213 |
|
356 |
330 |
$10K |
| A4267 |
Contraceptive supply, condom, male, each |
524 |
512 |
$6K |
| 87806 |
|
194 |
194 |
$5K |
| 99212 |
|
121 |
121 |
$4K |
| 81025 |
|
1,206 |
1,130 |
$3K |
| 76817 |
|
45 |
41 |
$3K |
| Q0111 |
Wet mounts, including preparations of vaginal, cervical or skin specimens |
252 |
245 |
$922.32 |
| 99000 |
|
237 |
230 |
$856.68 |
| 83986 |
|
251 |
244 |
$798.18 |
| 99211 |
|
14 |
14 |
$297.83 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
12 |
12 |
$152.30 |
| 81002 |
|
63 |
62 |
$135.45 |
| S5000 |
Prescription drug, generic |
361 |
323 |
$5.98 |