| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
|
9,127 |
8,675 |
$610K |
| 99213 |
|
6,299 |
5,621 |
$562K |
| 99214 |
|
1,564 |
1,420 |
$221K |
| J3490 |
Drugs unclassified injection |
8,026 |
6,985 |
$220K |
| 99202 |
|
1,317 |
1,270 |
$168K |
| S4993 |
Contraceptive pills for bc |
2,212 |
2,182 |
$160K |
| J7307 |
Etonogestrel implant system |
65 |
65 |
$57K |
| 99201 |
|
515 |
493 |
$53K |
| S0199 |
Med abortion inc all ex drug |
87 |
87 |
$38K |
| 81025 |
|
12,236 |
11,583 |
$35K |
| 99203 |
|
144 |
133 |
$30K |
| J7303 |
Contraceptive vaginal ring |
293 |
290 |
$25K |
| 76817 |
|
274 |
263 |
$22K |
| 58300 |
|
212 |
106 |
$20K |
| A4267 |
Male condom |
5,301 |
5,243 |
$15K |
| S9445 |
Pt education noc individ |
1,023 |
1,023 |
$13K |
| 11981 |
|
53 |
53 |
$12K |
| Q0144 |
Azithromycin dihydrate, oral |
1,158 |
1,019 |
$10K |
| S0190 |
Mifepristone, oral, 200 mg |
113 |
113 |
$7K |
| 99211 |
|
206 |
195 |
$7K |
| Q3014 |
Telehealth facility fee |
211 |
209 |
$5K |
| 83986 |
|
1,612 |
1,385 |
$5K |
| 87210 |
|
1,115 |
1,097 |
$4K |
| 99401 |
|
139 |
137 |
$3K |
| 11976 |
|
50 |
25 |
$2K |
| 58301 |
|
60 |
30 |
$2K |
| 81005 |
|
665 |
635 |
$1K |
| J0696 |
Ceftriaxone sodium injection |
128 |
123 |
$598.23 |
| J7295 |
Eth estr and eton monthly |
13 |
13 |
$565.41 |
| 85018 |
|
232 |
220 |
$456.55 |
| T1014 |
Telehealth transmit, per min |
210 |
208 |
$305.88 |
| S0191 |
Misoprostol, oral, 200 mcg |
126 |
126 |
$240.89 |
| 81002 |
|
90 |
88 |
$186.55 |