| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
683 |
676 |
$89K |
| 99385 |
|
356 |
349 |
$51K |
| S4993 |
Contraceptive pills for birth control |
548 |
516 |
$50K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
495 |
476 |
$11K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
318 |
314 |
$9K |
| A4267 |
Contraceptive supply, condom, male, each |
2,119 |
1,984 |
$8K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
58 |
56 |
$5K |
| 81025 |
|
504 |
468 |
$4K |
| 99401 |
|
71 |
69 |
$2K |
| Q0144 |
Azithromycin dihydrate, oral, capsules/powder, 1 gram |
84 |
65 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
83 |
81 |
$1K |