| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
798 |
785 |
$167K |
| 99203 |
|
495 |
495 |
$157K |
| 99213 |
|
1,139 |
1,093 |
$148K |
| 99212 |
|
1,165 |
1,130 |
$118K |
| 99204 |
|
167 |
167 |
$65K |
| J3490 |
Unclassified drugs |
1,278 |
1,238 |
$58K |
| 99202 |
|
152 |
152 |
$29K |
| S4993 |
Contraceptive pills for birth control |
239 |
237 |
$22K |
| 99211 |
|
273 |
270 |
$18K |
| 87806 |
|
521 |
519 |
$12K |
| A4267 |
Contraceptive supply, condom, male, each |
1,793 |
1,752 |
$10K |
| S5000 |
Prescription drug, generic |
972 |
937 |
$7K |
| 99000 |
|
1,967 |
1,954 |
$7K |
| 81025 |
|
1,845 |
1,786 |
$6K |
| Q0111 |
Wet mounts, including preparations of vaginal, cervical or skin specimens |
632 |
613 |
$2K |
| 83986 |
|
768 |
751 |
$2K |
| 81002 |
|
206 |
196 |
$411.51 |
| 87491 |
|
17 |
16 |
$373.33 |
| 87591 |
|
17 |
16 |
$371.41 |
| 87389 |
|
12 |
12 |
$221.86 |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
16 |
16 |
$203.52 |
| 82120 |
|
24 |
24 |
$91.63 |
| 86592 |
|
27 |
27 |
$86.98 |
| 87210 |
|
24 |
24 |
$81.60 |