| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
|
11,009 |
10,499 |
$357K |
| J7307 |
Etonogestrel implant system |
216 |
214 |
$147K |
| J3490 |
Drugs unclassified injection |
5,442 |
4,820 |
$108K |
| A4267 |
Male condom |
8,868 |
8,806 |
$83K |
| 99202 |
|
813 |
810 |
$57K |
| S4993 |
Contraceptive pills for bc |
535 |
532 |
$55K |
| 58300 |
|
1,033 |
524 |
$51K |
| 99213 |
|
1,320 |
1,296 |
$48K |
| S0199 |
Med abortion inc all ex drug |
658 |
656 |
$43K |
| 90651 |
|
250 |
247 |
$42K |
| J7304 |
Contraceptive hormone patch |
22 |
22 |
$31K |
| 87491 |
|
12,051 |
11,924 |
$27K |
| 87591 |
|
12,037 |
11,914 |
$27K |
| 99211 |
|
492 |
478 |
$26K |
| 11981 |
|
152 |
152 |
$19K |
| 99203 |
|
88 |
88 |
$15K |
| 11976 |
|
340 |
186 |
$13K |
| G9920 |
Scrning perf and negative |
925 |
914 |
$11K |
| 87661 |
|
3,262 |
3,238 |
$9K |
| 81025 |
|
12,511 |
11,801 |
$9K |
| J7298 |
Mirena, 52 mg |
26 |
26 |
$8K |
| 58301 |
|
429 |
224 |
$7K |
| 76830 |
|
250 |
246 |
$7K |
| 57454 |
|
103 |
53 |
$7K |
| 87806 |
|
6,089 |
6,075 |
$5K |
| 76817 |
|
349 |
328 |
$4K |
| S9445 |
Pt education noc individ |
323 |
323 |
$4K |
| 99214 |
|
43 |
43 |
$4K |
| 99000 |
|
2,087 |
2,080 |
$3K |
| 87481 |
|
2,318 |
2,306 |
$3K |
| 87799 |
|
2,296 |
2,284 |
$3K |
| 87563 |
|
733 |
731 |
$3K |
| S0190 |
Mifepristone, oral, 200 mg |
374 |
374 |
$2K |
| 99201 |
|
45 |
45 |
$2K |
| Q0144 |
Azithromycin dihydrate, oral |
542 |
525 |
$1K |
| T1014 |
Telehealth transmit, per min |
939 |
890 |
$851.94 |
| G2012 |
Brief check in by md/qhp |
82 |
81 |
$388.37 |
| 76815 |
|
56 |
53 |
$373.42 |
| Q0111 |
Wet mounts/ w preparations |
110 |
106 |
$270.84 |
| 81002 |
|
225 |
219 |
$204.28 |
| S0191 |
Misoprostol, oral, 200 mcg |
388 |
386 |
$112.64 |
| 83986 |
|
13 |
13 |
$34.76 |
| 86592 |
|
74 |
74 |
$30.00 |
| 85018 |
|
69 |
66 |
$5.67 |
| 01966 |
|
40 |
40 |
$0.00 |
| 86901 |
|
12 |
12 |
$0.00 |