| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
|
6,865 |
6,020 |
$562K |
| J7298 |
Mirena, 52 mg |
457 |
332 |
$406K |
| J7307 |
Etonogestrel implant system |
421 |
350 |
$380K |
| J3490 |
Drugs unclassified injection |
4,745 |
3,735 |
$152K |
| 58300 |
|
1,369 |
686 |
$127K |
| 99213 |
|
897 |
889 |
$86K |
| 11981 |
|
368 |
366 |
$79K |
| S4993 |
Contraceptive pills for bc |
452 |
450 |
$77K |
| S0199 |
Med abortion inc all ex drug |
183 |
178 |
$77K |
| A4267 |
Male condom |
6,472 |
6,452 |
$76K |
| 87806 |
|
2,719 |
2,295 |
$65K |
| 99211 |
|
1,033 |
898 |
$56K |
| 99202 |
|
359 |
318 |
$45K |
| J7296 |
Kyleena, 19.5 mg |
49 |
48 |
$45K |
| J7301 |
Skyla, 13.5 mg |
49 |
26 |
$36K |
| 11976 |
|
662 |
331 |
$36K |
| J7300 |
Intra copp contra (paragard) |
45 |
36 |
$35K |
| 58301 |
|
1,156 |
590 |
$32K |
| 99201 |
|
256 |
232 |
$29K |
| 81025 |
|
5,171 |
5,065 |
$16K |
| S9445 |
Pt education noc individ |
1,216 |
1,216 |
$15K |
| S0190 |
Mifepristone, oral, 200 mg |
204 |
203 |
$14K |
| 99000 |
|
2,865 |
2,832 |
$10K |
| 76830 |
|
154 |
154 |
$10K |
| 59840 |
|
43 |
27 |
$10K |
| Q0144 |
Azithromycin dihydrate, oral |
561 |
420 |
$9K |
| G9920 |
Scrning perf and negative |
237 |
236 |
$4K |
| 99203 |
|
15 |
15 |
$4K |
| Q0111 |
Wet mounts/ w preparations |
781 |
770 |
$3K |
| 76817 |
|
30 |
30 |
$2K |
| 83986 |
|
759 |
745 |
$2K |
| T1014 |
Telehealth transmit, per min |
1,038 |
1,006 |
$2K |
| 76815 |
|
15 |
13 |
$1K |
| S0191 |
Misoprostol, oral, 200 mcg |
190 |
189 |
$593.34 |
| 81002 |
|
240 |
233 |
$437.55 |
| G2012 |
Brief check in by md/qhp |
27 |
27 |
$322.99 |
| 86592 |
|
12 |
12 |
$38.00 |