| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
|
7,119 |
6,499 |
$393K |
| J3490 |
Drugs unclassified injection |
4,254 |
3,869 |
$193K |
| J7307 |
Etonogestrel implant system |
204 |
184 |
$163K |
| A4267 |
Male condom |
5,836 |
5,786 |
$100K |
| S0199 |
Med abortion inc all ex drug |
302 |
298 |
$92K |
| 99202 |
|
722 |
710 |
$70K |
| J7298 |
Mirena, 52 mg |
78 |
55 |
$64K |
| 87491 |
|
1,302 |
1,291 |
$56K |
| S4993 |
Contraceptive pills for bc |
370 |
367 |
$55K |
| 58300 |
|
575 |
292 |
$51K |
| 11981 |
|
255 |
255 |
$47K |
| G9920 |
Scrning perf and negative |
928 |
926 |
$27K |
| 99211 |
|
492 |
389 |
$24K |
| 87591 |
|
1,299 |
1,288 |
$20K |
| 90651 |
|
75 |
75 |
$17K |
| 76817 |
|
142 |
127 |
$12K |
| 99000 |
|
847 |
843 |
$12K |
| 85018 |
|
120 |
117 |
$10K |
| J7300 |
Intra copp contra (paragard) |
14 |
14 |
$9K |
| 87806 |
|
468 |
467 |
$9K |
| 76830 |
|
156 |
153 |
$8K |
| S9445 |
Pt education noc individ |
486 |
486 |
$6K |
| 81025 |
|
1,374 |
1,266 |
$6K |
| 87661 |
|
281 |
276 |
$5K |
| Q0144 |
Azithromycin dihydrate, oral |
175 |
171 |
$5K |
| 99213 |
|
105 |
105 |
$4K |
| 58301 |
|
143 |
75 |
$3K |
| S0190 |
Mifepristone, oral, 200 mg |
82 |
82 |
$3K |
| 87481 |
|
78 |
77 |
$3K |
| 11976 |
|
47 |
24 |
$3K |
| 99201 |
|
16 |
16 |
$2K |
| G2012 |
Brief check in by md/qhp |
68 |
68 |
$2K |
| 87799 |
|
66 |
65 |
$2K |
| Q0111 |
Wet mounts/ w preparations |
283 |
278 |
$1K |
| 87563 |
|
38 |
38 |
$1K |
| T1014 |
Telehealth transmit, per min |
366 |
351 |
$415.14 |
| 86592 |
|
12 |
12 |
$346.79 |
| S0191 |
Misoprostol, oral, 200 mcg |
123 |
123 |
$207.18 |
| 83986 |
|
39 |
39 |
$115.39 |