| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H1010 |
Non-medical family planning education, per session |
3,791 |
3,554 |
$338K |
| S4993 |
Contraceptive pills for birth control |
2,177 |
1,356 |
$166K |
| 99213 |
|
1,039 |
964 |
$29K |
| A4267 |
Contraceptive supply, condom, male, each |
970 |
929 |
$12K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
583 |
569 |
$11K |
| 99202 |
|
234 |
232 |
$8K |
| 99000 |
|
1,646 |
1,585 |
$6K |
| 87806 |
|
155 |
154 |
$4K |
| 99214 |
|
35 |
28 |
$1K |
| 99211 |
|
98 |
91 |
$1K |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
32 |
25 |
$783.93 |
| 87210 |
|
41 |
39 |
$226.59 |