| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
|
2,465 |
2,401 |
$111K |
| J3490 |
Unclassified drugs |
1,793 |
1,726 |
$94K |
| 87806 |
|
1,886 |
1,852 |
$39K |
| A4267 |
Contraceptive supply, condom, male, each |
2,084 |
2,074 |
$30K |
| 99202 |
|
157 |
157 |
$18K |
| 81025 |
|
3,871 |
3,692 |
$14K |
| 90651 |
|
26 |
26 |
$6K |
| G9920 |
Screening performed and negative |
207 |
207 |
$5K |
| S0199 |
Medically induced abortion by oral ingestion of medication including all associated services and supplies (e.g., patient counseling, office visits, confirmation of pregnancy by hcg, ultrasound to confirm duration of pregnancy, ultrasound to confirm completion of abortion) except drugs |
13 |
13 |
$5K |
| 99213 |
|
96 |
95 |
$5K |
| S4993 |
Contraceptive pills for birth control |
27 |
27 |
$3K |
| 58300 |
|
23 |
12 |
$2K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
129 |
129 |
$2K |
| S0190 |
Mifepristone, oral, 200 mg |
12 |
12 |
$427.20 |
| T1014 |
Telehealth transmission, per minute, professional services bill separately |
100 |
100 |
$229.77 |
| 86592 |
|
51 |
51 |
$175.92 |
| 81002 |
|
27 |
26 |
$38.75 |