| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S4993 |
Contraceptive pills for birth control |
1,386 |
1,027 |
$107K |
| H1010 |
Non-medical family planning education, per session |
1,004 |
975 |
$93K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
109 |
99 |
$1K |
| A4267 |
Contraceptive supply, condom, male, each |
66 |
66 |
$1K |
| T5999 |
Supply, not otherwise specified |
13 |
13 |
$1K |
| 83655 |
|
66 |
61 |
$705.23 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$400.58 |
| 36416 |
|
44 |
43 |
$103.02 |