| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| Z1034 |
|
27,439 |
19,713 |
$1.73M |
| J7307 |
Etonogestrel implant system |
3,047 |
2,943 |
$1.20M |
| Z1032 |
|
5,990 |
5,989 |
$940K |
| 59409 |
|
5,439 |
5,423 |
$823K |
| Z6500 |
|
6,181 |
6,178 |
$763K |
| H1001 |
Antepartum management |
102,299 |
71,575 |
$726K |
| J7298 |
Mirena, 52 mg |
2,072 |
1,972 |
$639K |
| 58300 |
|
9,188 |
4,394 |
$461K |
| H1003 |
Prenatal at risk education |
58,903 |
39,691 |
$446K |
| J7300 |
Intra copp contra (paragard) |
1,130 |
1,105 |
$445K |
| 76817 |
|
18,439 |
16,135 |
$443K |
| 59425 |
|
41,476 |
29,140 |
$372K |
| 11981 |
|
3,207 |
3,005 |
$351K |
| 99213 |
|
25,933 |
25,161 |
$309K |
| J3490 |
Drugs unclassified injection |
5,980 |
5,456 |
$263K |
| Z6410 |
|
25,808 |
19,747 |
$261K |
| H1000 |
Prenatal care atrisk assessm |
11,462 |
11,447 |
$259K |
| S9445 |
Pt education noc individ |
93,913 |
72,369 |
$213K |
| Z6400 |
|
7,311 |
7,239 |
$191K |
| 59514 |
|
1,394 |
1,379 |
$163K |
| 97803 |
|
50,573 |
44,495 |
$156K |
| J7296 |
Kyleena, 19.5 mg |
241 |
239 |
$143K |
| Z6304 |
|
9,461 |
7,963 |
$142K |
| 99203 |
|
5,337 |
5,319 |
$133K |
| H1002 |
Carecoordination prenatal |
12,528 |
12,508 |
$126K |
| Z6204 |
|
7,933 |
7,401 |
$123K |
| Z6406 |
|
6,359 |
6,007 |
$114K |
| Z6404 |
|
5,432 |
5,424 |
$109K |
| 81025 |
|
92,418 |
86,990 |
$108K |
| Z6202 |
|
5,435 |
5,435 |
$105K |
| Z6302 |
|
5,193 |
5,191 |
$103K |
| 59430 |
|
16,156 |
14,889 |
$102K |
| 11976 |
|
3,580 |
1,768 |
$94K |
| 99215 |
Prolong outpt/office vis |
4,585 |
4,290 |
$89K |
| 99401 |
|
39,372 |
35,858 |
$88K |
| 99204 |
|
3,008 |
2,986 |
$84K |
| 99214 |
|
4,731 |
4,698 |
$83K |
| 96156 |
|
49,053 |
45,800 |
$74K |
| Z1038 |
|
1,266 |
1,266 |
$69K |
| 81002 |
|
137,919 |
98,990 |
$69K |
| H2000 |
Comp multidisipln evaluation |
12,229 |
11,653 |
$63K |
| 99212 |
|
5,375 |
5,140 |
$63K |
| G0442 |
Annual alcohol screen 15 min |
16,755 |
16,732 |
$59K |
| 58301 |
|
4,765 |
2,392 |
$58K |
| 90715 |
|
6,651 |
6,549 |
$57K |
| G8510 |
Scr dep neg, no plan reqd |
16,616 |
16,589 |
$48K |
| 96151 |
|
16,861 |
11,314 |
$41K |
| 1036F |
|
2,436 |
2,434 |
$38K |
| 97802 |
|
15,551 |
14,520 |
$38K |
| 99211 |
|
2,431 |
2,177 |
$33K |
| 57454 |
|
2,642 |
1,353 |
$28K |
| 76815 |
|
1,745 |
1,692 |
$26K |
| 99202 |
|
1,102 |
1,096 |
$23K |
| S9452 |
Nutrition class |
9,389 |
9,020 |
$23K |
| Z6308 |
|
1,157 |
1,141 |
$22K |
| 99403 |
|
9,241 |
9,228 |
$22K |
| 99406 |
|
7,937 |
7,922 |
$21K |
| Z6414 |
|
1,187 |
1,172 |
$21K |
| 96372 |
|
4,520 |
3,510 |
$20K |
| 96150 |
|
3,951 |
3,293 |
$18K |
| Z6208 |
|
1,137 |
1,126 |
$18K |
| 76830 |
|
1,629 |
1,597 |
$16K |
| 99395 |
|
978 |
974 |
$15K |
| 90674 |
|
1,178 |
1,173 |
$12K |
| 99385 |
|
696 |
690 |
$11K |
| 90656 |
|
616 |
475 |
$11K |
| J2790 |
Rho d immune globulin inj |
513 |
501 |
$10K |
| 58100 |
|
2,182 |
1,133 |
$10K |
| 90688 |
|
1,497 |
1,480 |
$10K |
| 4004F |
|
620 |
620 |
$7K |
| 99386 |
|
228 |
227 |
$6K |
| 90756 |
|
648 |
646 |
$5K |
| 90384 |
|
232 |
151 |
$4K |
| 58661 |
|
32 |
32 |
$4K |
| 99231 |
|
320 |
136 |
$4K |
| 96152 |
|
1,976 |
1,708 |
$4K |
| 76801 |
|
159 |
154 |
$4K |
| 99238 |
|
147 |
144 |
$3K |
| G8431 |
Pos clin depres scrn f/u doc |
415 |
415 |
$2K |
| 76805 |
|
155 |
153 |
$2K |
| 11982 |
|
256 |
128 |
$2K |
| 90661 |
|
363 |
362 |
$2K |
| 99396 |
|
159 |
157 |
$2K |
| 90471 |
|
4,614 |
4,532 |
$1K |
| 99404 |
|
518 |
518 |
$1K |
| 3074F |
|
21,913 |
17,261 |
$653.98 |
| G0443 |
Brief alcohol misuse counsel |
438 |
437 |
$644.38 |
| 99407 |
|
180 |
180 |
$312.64 |
| 0500F |
|
1,732 |
1,719 |
$182.94 |
| 57456 |
|
49 |
25 |
$104.99 |
| 99222 |
|
14 |
13 |
$87.84 |
| 81003 |
|
143 |
142 |
$10.61 |
| 3079F |
|
6,237 |
5,547 |
$1.00 |
| 0503F |
|
1,093 |
1,048 |
$0.30 |
| 3075F |
|
866 |
816 |
$0.02 |
| 3078F |
|
16,434 |
13,438 |
$0.02 |
| 3080F |
|
2,208 |
1,825 |
$0.00 |
| 57452 |
|
24 |
12 |
$0.00 |
| 0502F |
|
13,492 |
9,462 |
$0.00 |
| 3077F |
|
198 |
184 |
$0.00 |
| 57522 |
|
27 |
14 |
$0.00 |
| 90472 |
|
13 |
13 |
$0.00 |
| 59025 |
|
24 |
13 |
$0.00 |