| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
|
11,848 |
11,029 |
$837K |
| J7307 |
Etonogestrel implant system |
642 |
604 |
$657K |
| J3490 |
Drugs unclassified injection |
6,389 |
5,435 |
$183K |
| 90651 |
|
660 |
652 |
$180K |
| S0199 |
Med abortion inc all ex drug |
413 |
407 |
$156K |
| 99202 |
|
1,195 |
1,193 |
$153K |
| 58300 |
|
1,459 |
753 |
$130K |
| S4993 |
Contraceptive pills for bc |
868 |
864 |
$119K |
| A4267 |
Male condom |
5,938 |
5,891 |
$99K |
| J7298 |
Mirena, 52 mg |
94 |
84 |
$88K |
| 87491 |
|
3,495 |
3,431 |
$82K |
| 99211 |
|
1,261 |
1,027 |
$73K |
| 87591 |
|
3,489 |
3,425 |
$67K |
| 11981 |
|
294 |
292 |
$63K |
| 11976 |
|
830 |
418 |
$43K |
| 87806 |
|
1,636 |
1,625 |
$30K |
| 99201 |
|
265 |
264 |
$29K |
| 58301 |
|
910 |
467 |
$24K |
| 76830 |
|
313 |
310 |
$21K |
| 87661 |
|
790 |
785 |
$15K |
| J7296 |
Kyleena, 19.5 mg |
12 |
12 |
$11K |
| 87481 |
|
528 |
524 |
$10K |
| 81025 |
|
3,854 |
3,600 |
$9K |
| G9920 |
Scrning perf and negative |
359 |
359 |
$8K |
| 87799 |
|
391 |
387 |
$8K |
| 99213 |
|
212 |
206 |
$7K |
| 99000 |
|
1,262 |
1,255 |
$7K |
| Q0144 |
Azithromycin dihydrate, oral |
141 |
134 |
$5K |
| S0190 |
Mifepristone, oral, 200 mg |
97 |
97 |
$5K |
| 57454 |
|
80 |
40 |
$5K |
| 87563 |
|
158 |
158 |
$4K |
| 76817 |
|
78 |
73 |
$4K |
| S9445 |
Pt education noc individ |
280 |
280 |
$4K |
| T1014 |
Telehealth transmit, per min |
1,139 |
1,110 |
$2K |
| G2012 |
Brief check in by md/qhp |
79 |
79 |
$983.06 |
| Q0111 |
Wet mounts/ w preparations |
224 |
221 |
$908.10 |
| S0191 |
Misoprostol, oral, 200 mcg |
110 |
110 |
$319.28 |
| 83986 |
|
12 |
12 |
$36.64 |
| 81002 |
|
12 |
12 |
$15.69 |