| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
|
5,018 |
4,893 |
$306K |
| S0199 |
Med abortion inc all ex drug |
716 |
695 |
$240K |
| J3490 |
Drugs unclassified injection |
2,784 |
2,381 |
$83K |
| 99202 |
|
442 |
441 |
$37K |
| 87806 |
|
1,927 |
1,690 |
$37K |
| J7307 |
Etonogestrel implant system |
38 |
38 |
$34K |
| A4267 |
Male condom |
2,083 |
2,070 |
$31K |
| S4993 |
Contraceptive pills for bc |
198 |
194 |
$28K |
| S0190 |
Mifepristone, oral, 200 mg |
535 |
525 |
$25K |
| 99213 |
|
272 |
264 |
$16K |
| 99214 |
|
100 |
97 |
$11K |
| 81025 |
|
3,844 |
3,654 |
$9K |
| 11981 |
|
38 |
38 |
$7K |
| G9920 |
Scrning perf and negative |
279 |
277 |
$5K |
| G2012 |
Brief check in by md/qhp |
255 |
255 |
$3K |
| Q0144 |
Azithromycin dihydrate, oral |
345 |
329 |
$3K |
| T1014 |
Telehealth transmit, per min |
1,987 |
1,928 |
$3K |
| 99201 |
|
33 |
33 |
$2K |
| 99203 |
|
15 |
15 |
$2K |
| 99211 |
|
38 |
37 |
$2K |
| S9445 |
Pt education noc individ |
91 |
91 |
$1K |
| S0191 |
Misoprostol, oral, 200 mcg |
611 |
598 |
$1K |
| 76817 |
|
13 |
12 |
$540.68 |
| 99402 |
|
13 |
13 |
$413.27 |
| 86592 |
|
110 |
110 |
$242.81 |
| 87661 |
|
13 |
12 |
$223.64 |
| 83986 |
|
64 |
62 |
$186.09 |
| Q0111 |
Wet mounts/ w preparations |
68 |
66 |
$185.88 |
| 99000 |
|
57 |
56 |
$181.42 |
| 87210 |
|
28 |
27 |
$93.96 |
| 81002 |
|
14 |
13 |
$21.71 |