| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
25,223 |
24,212 |
$2.66M |
| 99214 |
|
13,578 |
12,832 |
$2.14M |
| 99203 |
|
2,005 |
1,944 |
$507K |
| 99212 |
|
7,039 |
6,766 |
$502K |
| 87806 |
|
16,608 |
13,180 |
$421K |
| 99202 |
|
2,143 |
2,004 |
$318K |
| S4993 |
Contraceptive pills for bc |
2,900 |
2,789 |
$314K |
| Q3014 |
Telehealth facility fee |
12,971 |
12,864 |
$288K |
| 87491 |
|
4,929 |
4,869 |
$203K |
| 87591 |
|
4,926 |
4,866 |
$202K |
| J3490 |
Drugs unclassified injection |
3,095 |
2,586 |
$140K |
| 99211 |
|
898 |
888 |
$52K |
| 87661 |
|
1,088 |
1,077 |
$39K |
| 99000 |
|
9,187 |
8,991 |
$33K |
| 99201 |
|
319 |
254 |
$32K |
| 81025 |
|
9,147 |
8,972 |
$28K |
| S9445 |
Pt education noc individ |
2,039 |
2,039 |
$26K |
| A4267 |
Male condom |
2,424 |
2,396 |
$22K |
| S0199 |
Med abortion inc all ex drug |
37 |
37 |
$21K |
| S5000 |
Prescription drug, generic |
3,026 |
2,893 |
$20K |
| 83986 |
|
4,969 |
4,460 |
$14K |
| J7303 |
Contraceptive vaginal ring |
73 |
73 |
$12K |
| 87210 |
|
3,205 |
3,145 |
$10K |
| 86701 |
|
884 |
635 |
$6K |
| Q0144 |
Azithromycin dihydrate, oral |
596 |
337 |
$3K |
| 11981 |
|
12 |
12 |
$3K |
| S5199 |
Personal care item nos each |
471 |
470 |
$2K |
| S0190 |
Mifepristone, oral, 200 mg |
25 |
25 |
$2K |
| 81002 |
|
923 |
903 |
$2K |
| 58301 |
|
50 |
26 |
$1K |
| S0191 |
Misoprostol, oral, 200 mcg |
25 |
25 |
$166.01 |
| 36415 |
|
123 |
105 |
$57.00 |
| J0696 |
Ceftriaxone sodium injection |
13 |
13 |
$46.80 |
| 85018 |
|
27 |
25 |
$27.95 |