| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H1010 |
Non-medical family planning education, per session |
6,025 |
5,592 |
$290K |
| S4993 |
Contraceptive pills for birth control |
3,022 |
2,741 |
$222K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,133 |
1,997 |
$60K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,161 |
1,117 |
$39K |
| A4267 |
Contraceptive supply, condom, male, each |
2,814 |
2,659 |
$29K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
70 |
69 |
$29K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
917 |
881 |
$25K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,782 |
1,741 |
$20K |
| J7303 |
Contraceptive supply, hormone containing vaginal ring, each |
336 |
324 |
$20K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
432 |
409 |
$19K |
| J7298 |
Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg |
57 |
57 |
$18K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
218 |
207 |
$12K |
| 99000 |
|
2,730 |
2,592 |
$9K |
| 87806 |
|
389 |
367 |
$9K |
| 84703 |
|
1,030 |
968 |
$9K |
| Q0144 |
Azithromycin dihydrate, oral, capsules/powder, 1 gram |
456 |
421 |
$8K |
| 58300 |
|
211 |
194 |
$7K |
| 86703 |
|
348 |
343 |
$6K |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
480 |
429 |
$4K |
| 87210 |
|
689 |
645 |
$4K |
| 11981 |
|
41 |
40 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
997 |
952 |
$3K |
| 11982 |
|
18 |
12 |
$1K |
| J3490 |
Unclassified drugs |
49 |
46 |
$264.06 |
| 81002 |
|
43 |
39 |
$135.72 |