| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
8,670 |
7,747 |
$818K |
| 99214 |
|
3,362 |
2,926 |
$516K |
| 99212 |
|
6,744 |
6,471 |
$446K |
| J3490 |
Drugs unclassified injection |
8,075 |
7,029 |
$303K |
| 99202 |
|
2,022 |
1,955 |
$271K |
| 99203 |
|
933 |
835 |
$200K |
| S4993 |
Contraceptive pills for bc |
1,556 |
1,532 |
$94K |
| 58300 |
|
516 |
258 |
$66K |
| 99201 |
|
411 |
406 |
$44K |
| 81025 |
|
10,078 |
9,616 |
$33K |
| J7303 |
Contraceptive vaginal ring |
194 |
194 |
$24K |
| S9445 |
Pt education noc individ |
1,787 |
1,786 |
$23K |
| S0199 |
Med abortion inc all ex drug |
28 |
28 |
$15K |
| A4267 |
Male condom |
5,265 |
5,233 |
$14K |
| Q3014 |
Telehealth facility fee |
399 |
391 |
$9K |
| Q0144 |
Azithromycin dihydrate, oral |
646 |
521 |
$6K |
| 76817 |
|
84 |
82 |
$6K |
| 59840 |
|
28 |
14 |
$5K |
| 11976 |
|
31 |
16 |
$3K |
| 83986 |
|
1,088 |
1,035 |
$3K |
| S0190 |
Mifepristone, oral, 200 mg |
46 |
46 |
$3K |
| 87210 |
|
840 |
829 |
$3K |
| 11981 |
|
12 |
12 |
$3K |
| 58301 |
|
45 |
25 |
$2K |
| 81005 |
|
905 |
865 |
$1K |
| 81002 |
|
464 |
460 |
$973.16 |
| T1014 |
Telehealth transmit, per min |
400 |
392 |
$633.94 |
| 99401 |
|
19 |
19 |
$362.33 |
| S0191 |
Misoprostol, oral, 200 mcg |
67 |
65 |
$187.85 |
| 85018 |
|
86 |
85 |
$155.14 |