| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,771 |
1,438 |
$160K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,123 |
926 |
$36K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
125 |
116 |
$34K |
| A4267 |
Contraceptive supply, condom, male, each |
681 |
681 |
$6K |
| 99000 |
|
597 |
593 |
$2K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
108 |
108 |
$1K |
| 99386 |
|
13 |
13 |
$135.01 |
| 99385 |
|
41 |
41 |
$112.96 |