| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H1010 |
Non-medical family planning education, per session |
2,705 |
2,587 |
$224K |
| S4993 |
Contraceptive pills for birth control |
2,581 |
1,966 |
$143K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
347 |
335 |
$20K |
| A4267 |
Contraceptive supply, condom, male, each |
533 |
518 |
$9K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
70 |
69 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
77 |
74 |
$3K |
| 99000 |
|
738 |
704 |
$3K |
| 81025 |
|
167 |
157 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
19 |
14 |
$42.64 |