| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
5,796 |
5,491 |
$549K |
| J3490 |
Drugs unclassified injection |
9,470 |
7,323 |
$308K |
| 99214 |
|
1,551 |
1,512 |
$250K |
| S4993 |
Contraceptive pills for bc |
1,907 |
1,830 |
$199K |
| 99203 |
|
771 |
769 |
$181K |
| 99202 |
|
1,248 |
1,237 |
$170K |
| 87806 |
|
7,123 |
5,896 |
$156K |
| J7307 |
Etonogestrel implant system |
217 |
212 |
$149K |
| 99212 |
|
1,954 |
1,851 |
$141K |
| 99211 |
|
4,185 |
3,945 |
$134K |
| 99201 |
|
1,139 |
1,124 |
$110K |
| 87661 |
|
1,775 |
1,762 |
$49K |
| 11981 |
|
230 |
222 |
$45K |
| 99204 |
|
113 |
113 |
$38K |
| A4267 |
Male condom |
4,095 |
3,830 |
$38K |
| 99401 |
|
1,508 |
1,490 |
$29K |
| 99000 |
|
5,295 |
5,218 |
$20K |
| S9445 |
Pt education noc individ |
1,500 |
1,500 |
$19K |
| 99402 |
|
574 |
574 |
$18K |
| 81025 |
|
4,715 |
4,576 |
$16K |
| 58300 |
|
184 |
87 |
$15K |
| S5000 |
Prescription drug, generic |
1,822 |
1,706 |
$14K |
| 11976 |
|
248 |
123 |
$13K |
| J7304 |
Contraceptive hormone patch |
13 |
13 |
$11K |
| 83986 |
|
4,433 |
3,750 |
$11K |
| Q0111 |
Wet mounts/ w preparations |
2,935 |
2,830 |
$9K |
| S0199 |
Med abortion inc all ex drug |
16 |
15 |
$8K |
| 58301 |
|
227 |
118 |
$5K |
| 87591 |
|
634 |
623 |
$3K |
| 87491 |
|
1,002 |
995 |
$3K |
| S0190 |
Mifepristone, oral, 200 mg |
39 |
38 |
$2K |
| Q0144 |
Azithromycin dihydrate, oral |
802 |
658 |
$2K |
| G2012 |
Brief check in by md/qhp |
119 |
118 |
$1K |
| 81002 |
|
626 |
613 |
$1K |
| 76815 |
|
13 |
13 |
$525.99 |
| J0696 |
Ceftriaxone sodium injection |
80 |
74 |
$311.18 |
| S0191 |
Misoprostol, oral, 200 mcg |
51 |
50 |
$147.20 |