| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
317 |
277 |
$278K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,060 |
2,626 |
$186K |
| 11981 |
|
277 |
277 |
$57K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
3,719 |
3,719 |
$47K |
| J7298 |
Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg |
43 |
26 |
$37K |
| 58300 |
|
382 |
192 |
$34K |
| J3490 |
Unclassified drugs |
314 |
250 |
$30K |
| 99000 |
|
1,177 |
1,176 |
$4K |
| Q0111 |
Wet mounts, including preparations of vaginal, cervical or skin specimens |
823 |
792 |
$3K |
| 83986 |
|
931 |
905 |
$3K |
| 11976 |
|
30 |
15 |
$2K |
| 81025 |
|
344 |
344 |
$963.20 |
| A4267 |
Contraceptive supply, condom, male, each |
181 |
181 |
$892.33 |
| S5199 |
Personal care item, nos, each |
182 |
182 |
$480.48 |