| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
6,960 |
6,550 |
$846K |
| 99214 |
|
3,982 |
3,804 |
$792K |
| 99212 |
|
9,286 |
8,944 |
$764K |
| J3490 |
Drugs unclassified injection |
18,318 |
15,951 |
$681K |
| S4993 |
Contraceptive pills for bc |
5,086 |
5,069 |
$576K |
| 99203 |
|
1,694 |
1,657 |
$526K |
| 99202 |
|
1,954 |
1,931 |
$362K |
| J7307 |
Etonogestrel implant system |
344 |
343 |
$308K |
| 87806 |
|
8,870 |
6,723 |
$219K |
| 87491 |
|
6,443 |
6,314 |
$214K |
| 99401 |
|
6,987 |
6,809 |
$133K |
| 99204 |
|
306 |
306 |
$119K |
| 87591 |
|
6,493 |
6,357 |
$104K |
| 11981 |
|
335 |
333 |
$78K |
| 99211 |
|
1,874 |
1,734 |
$73K |
| A4267 |
Male condom |
10,371 |
10,190 |
$67K |
| 99201 |
|
545 |
524 |
$59K |
| J7304 |
Contraceptive hormone patch |
197 |
197 |
$59K |
| 81025 |
|
14,812 |
14,349 |
$59K |
| 58300 |
|
390 |
187 |
$35K |
| S5000 |
Prescription drug, generic |
4,995 |
4,794 |
$33K |
| 11976 |
|
477 |
243 |
$29K |
| 83986 |
|
8,192 |
6,650 |
$22K |
| 99000 |
|
6,060 |
6,031 |
$21K |
| J7303 |
Contraceptive vaginal ring |
241 |
240 |
$19K |
| Q0111 |
Wet mounts/ w preparations |
4,901 |
4,753 |
$18K |
| S9445 |
Pt education noc individ |
1,403 |
1,403 |
$18K |
| 86703 |
|
1,325 |
1,070 |
$13K |
| 99402 |
|
309 |
307 |
$10K |
| 58301 |
|
231 |
117 |
$7K |
| 87389 |
|
380 |
380 |
$6K |
| Q0144 |
Azithromycin dihydrate, oral |
1,274 |
1,254 |
$5K |
| 81002 |
|
2,119 |
2,072 |
$4K |
| 86592 |
|
1,233 |
1,228 |
$4K |
| 82120 |
|
562 |
547 |
$2K |
| 87210 |
|
551 |
535 |
$2K |
| J0696 |
Ceftriaxone sodium injection |
300 |
266 |
$2K |