| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,641 |
2,416 |
$305K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,467 |
1,336 |
$287K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,534 |
1,366 |
$142K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
341 |
301 |
$88K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
341 |
268 |
$41K |
| 99401 |
|
1,638 |
1,635 |
$31K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
1,661 |
1,661 |
$21K |
| J3490 |
Unclassified drugs |
247 |
213 |
$11K |
| 99201 |
|
57 |
57 |
$8K |
| A4267 |
Contraceptive supply, condom, male, each |
443 |
438 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
66 |
64 |
$2K |
| 99000 |
|
561 |
560 |
$2K |
| 81025 |
|
399 |
388 |
$1K |
| Q0144 |
Azithromycin dihydrate, oral, capsules/powder, 1 gram |
331 |
322 |
$826.86 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
39 |
29 |
$600.10 |
| 83986 |
|
162 |
160 |
$502.57 |
| S9446 |
Patient education, not otherwise classified, non-physician provider, group, per session |
122 |
122 |
$464.82 |
| 99402 |
|
12 |
12 |
$381.48 |
| Q0111 |
Wet mounts, including preparations of vaginal, cervical or skin specimens |
125 |
123 |
$362.94 |
| A4269 |
Contraceptive supply, spermicide (e.g., foam, gel), each |
85 |
84 |
$322.24 |
| J0561 |
Injection, penicillin g benzathine, 100,000 units |
52 |
37 |
$207.89 |
| S5199 |
Personal care item, nos, each |
404 |
398 |
$196.34 |
| 90715 |
|
31 |
29 |
$54.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
16 |
16 |
$0.00 |