| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
13,284 |
12,623 |
$827K |
| 99214 |
|
9,119 |
8,680 |
$702K |
| J7307 |
Etonogestrel implant system |
600 |
599 |
$476K |
| J3490 |
Drugs unclassified injection |
14,728 |
11,844 |
$428K |
| S4993 |
Contraceptive pills for bc |
4,045 |
4,017 |
$387K |
| 99212 |
|
5,653 |
5,526 |
$322K |
| 99203 |
|
1,397 |
1,395 |
$286K |
| 99211 |
|
9,289 |
8,868 |
$277K |
| 99202 |
|
2,356 |
2,342 |
$245K |
| 87806 |
|
10,862 |
9,081 |
$202K |
| S0199 |
Med abortion inc all ex drug |
547 |
543 |
$141K |
| 99201 |
|
1,429 |
1,418 |
$126K |
| 11981 |
|
587 |
586 |
$111K |
| J7304 |
Contraceptive hormone patch |
188 |
185 |
$79K |
| 58300 |
|
935 |
473 |
$76K |
| 99204 |
|
308 |
308 |
$65K |
| 87491 |
|
6,055 |
5,990 |
$62K |
| 99401 |
|
2,717 |
2,581 |
$52K |
| 87661 |
|
2,205 |
2,187 |
$51K |
| J7300 |
Intra copp contra (paragard) |
62 |
62 |
$50K |
| J7298 |
Mirena, 52 mg |
62 |
61 |
$49K |
| A4267 |
Male condom |
5,650 |
5,578 |
$38K |
| 90651 |
|
163 |
163 |
$32K |
| 99402 |
|
950 |
934 |
$30K |
| 81025 |
|
11,331 |
11,066 |
$25K |
| 11976 |
|
533 |
287 |
$25K |
| S5000 |
Prescription drug, generic |
3,160 |
2,907 |
$24K |
| 87591 |
|
5,942 |
5,878 |
$18K |
| 76815 |
|
781 |
745 |
$18K |
| S9445 |
Pt education noc individ |
1,376 |
1,376 |
$17K |
| 83986 |
|
7,912 |
6,647 |
$17K |
| 99000 |
|
6,985 |
6,829 |
$17K |
| 58301 |
|
694 |
363 |
$16K |
| S0190 |
Mifepristone, oral, 200 mg |
493 |
488 |
$15K |
| Q0111 |
Wet mounts/ w preparations |
5,461 |
5,261 |
$14K |
| Q3014 |
Telehealth facility fee |
624 |
613 |
$10K |
| J7303 |
Contraceptive vaginal ring |
65 |
65 |
$9K |
| J8499 |
Oral prescrip drug non chemo |
300 |
208 |
$3K |
| G2012 |
Brief check in by md/qhp |
457 |
435 |
$3K |
| 11982 |
|
91 |
46 |
$3K |
| Q0144 |
Azithromycin dihydrate, oral |
943 |
905 |
$2K |
| 81002 |
|
1,783 |
1,744 |
$2K |
| 99403 |
|
44 |
43 |
$2K |
| S0191 |
Misoprostol, oral, 200 mcg |
524 |
514 |
$941.48 |
| T1014 |
Telehealth transmit, per min |
620 |
609 |
$928.07 |
| J0696 |
Ceftriaxone sodium injection |
121 |
120 |
$395.21 |
| 90471 |
|
557 |
553 |
$357.18 |
| 85018 |
|
338 |
334 |
$277.88 |
| 86901 |
|
13 |
13 |
$23.12 |
| 90688 |
|
67 |
67 |
$22.30 |
| 90686 |
|
128 |
127 |
$9.00 |
| 3075F |
|
71 |
70 |
$0.00 |
| 3074F |
|
417 |
406 |
$0.00 |
| 3080F |
|
29 |
28 |
$0.00 |
| 3079F |
|
248 |
243 |
$0.00 |
| 92551 |
|
14 |
14 |
$0.00 |
| 3353F |
|
13 |
13 |
$0.00 |
| 90656 |
|
29 |
29 |
$0.00 |
| 1220F |
|
52 |
51 |
$0.00 |
| 3351F |
|
18 |
18 |
$0.00 |
| 90630 |
|
13 |
13 |
$0.00 |
| 3078F |
|
295 |
288 |
$0.00 |
| 3077F |
|
44 |
44 |
$0.00 |
| 90472 |
|
13 |
13 |
$0.00 |
| 90662 |
|
32 |
32 |
$0.00 |