| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J7298 |
Mirena, 52 mg |
1,728 |
1,716 |
$1.19M |
| 99214 |
|
27,552 |
23,545 |
$1.08M |
| 99204 |
|
12,075 |
12,001 |
$685K |
| H1001 |
Antepartum management |
12,697 |
7,558 |
$564K |
| J7296 |
Kyleena, 19.5 mg |
512 |
511 |
$434K |
| 58300 |
|
5,185 |
2,630 |
$387K |
| 59409 |
|
682 |
680 |
$263K |
| 58558 |
|
2,436 |
1,232 |
$174K |
| 76819 |
|
2,908 |
1,530 |
$142K |
| 76830 |
|
2,894 |
2,869 |
$137K |
| 76856 |
|
2,495 |
2,475 |
$123K |
| 99233 |
Prolong inpt eval add15 m |
3,335 |
1,726 |
$118K |
| 99000 |
|
21,866 |
20,572 |
$114K |
| Z1034 |
|
1,855 |
1,220 |
$105K |
| 57454 |
|
2,492 |
1,238 |
$103K |
| 81002 |
|
21,917 |
14,692 |
$101K |
| 81025 |
|
9,795 |
9,519 |
$100K |
| 99212 |
|
1,730 |
1,045 |
$94K |
| 76805 |
|
1,100 |
1,093 |
$78K |
| 76815 |
|
1,174 |
773 |
$52K |
| 87637 |
|
825 |
719 |
$52K |
| 58301 |
|
2,109 |
1,058 |
$50K |
| 76813 |
|
576 |
562 |
$48K |
| 76801 |
|
671 |
655 |
$40K |
| 88150 |
|
2,449 |
2,445 |
$38K |
| 59514 |
|
107 |
106 |
$37K |
| 58110 |
|
1,183 |
1,166 |
$36K |
| 58100 |
|
1,393 |
699 |
$30K |
| J7307 |
Etonogestrel implant system |
42 |
42 |
$29K |
| 59425 |
|
979 |
580 |
$28K |
| 90715 |
|
1,010 |
976 |
$27K |
| 57505 |
|
1,098 |
546 |
$27K |
| 76817 |
|
444 |
409 |
$24K |
| H1002 |
Carecoordination prenatal |
310 |
310 |
$22K |
| 59025 |
|
917 |
469 |
$18K |
| U0001 |
2019-ncov diagnostic p |
921 |
808 |
$17K |
| 90651 |
|
71 |
71 |
$15K |
| 36415 |
|
6,744 |
6,147 |
$15K |
| H1000 |
Prenatal care atrisk assessm |
140 |
139 |
$13K |
| 99238 |
|
376 |
374 |
$12K |
| 87210 |
|
2,697 |
2,637 |
$12K |
| 59430 |
|
271 |
264 |
$10K |
| H2000 |
Comp multidisipln evaluation |
130 |
130 |
$9K |
| 96372 |
|
675 |
656 |
$8K |
| Q0111 |
Wet mounts/ w preparations |
2,675 |
2,616 |
$7K |
| 99201 |
|
511 |
317 |
$7K |
| G2023 |
Specimen collect covid-19 |
730 |
637 |
$7K |
| J7297 |
Liletta, 52 mg |
12 |
12 |
$7K |
| 99213 |
|
258 |
249 |
$7K |
| 11981 |
|
80 |
40 |
$6K |
| Q0091 |
Obtaining screen pap smear |
1,854 |
1,846 |
$6K |
| H1003 |
Prenatal at risk education |
596 |
570 |
$5K |
| 90471 |
|
910 |
886 |
$5K |
| 87635 |
|
94 |
90 |
$3K |
| 99205 |
Prolong outpt/office vis |
26 |
26 |
$2K |
| Z6500 |
|
16 |
16 |
$2K |
| Z1032 |
|
17 |
17 |
$2K |
| 99441 |
|
194 |
190 |
$2K |
| 96156 |
|
282 |
281 |
$2K |
| 11982 |
|
26 |
12 |
$1K |
| 97803 |
|
195 |
187 |
$1K |
| 99401 |
|
85 |
83 |
$507.49 |
| G0101 |
Ca screen;pelvic/breast exam |
157 |
157 |
$272.88 |
| 57160 |
|
12 |
12 |
$189.08 |
| J1050 |
Medroxyprogesterone acetate |
79 |
79 |
$135.01 |
| S9445 |
Pt education noc individ |
13 |
13 |
$129.10 |
| Z6400 |
|
16 |
16 |
$121.12 |
| S9452 |
Nutrition class |
17 |
17 |
$100.36 |
| 99024 |
|
57 |
54 |
$0.00 |