| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
755 |
755 |
$282K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
568 |
568 |
$176K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
594 |
550 |
$58K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
762 |
745 |
$51K |
| A4267 |
Contraceptive supply, condom, male, each |
2,528 |
2,180 |
$18K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
1,383 |
1,372 |
$14K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
793 |
736 |
$11K |
| J3490 |
Unclassified drugs |
65 |
46 |
$6K |
| 99000 |
|
1,816 |
1,798 |
$6K |
| 99401 |
|
220 |
208 |
$4K |
| 81025 |
|
1,187 |
1,163 |
$3K |
| 97803 |
|
377 |
353 |
$2K |
| 92081 |
|
54 |
54 |
$504.14 |
| 99402 |
|
12 |
12 |
$373.53 |
| 92551 |
|
83 |
83 |
$232.64 |
| 97802 |
|
12 |
12 |
$109.26 |
| 81000 |
|
141 |
141 |
$96.27 |
| 3008F |
|
418 |
391 |
$18.50 |
| 3074F |
|
375 |
349 |
$8.20 |
| 3078F |
|
349 |
323 |
$7.70 |
| 1125F |
|
12 |
12 |
$0.00 |
| 1160F |
|
180 |
171 |
$0.00 |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
16 |
14 |
$0.00 |
| 99173 |
|
39 |
39 |
$0.00 |