| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
483 |
456 |
$22.91 |
| A4267 |
Contraceptive supply, condom, male, each |
70 |
69 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
229 |
224 |
$0.00 |
| 81025 |
|
66 |
66 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
229 |
224 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
136 |
128 |
$0.00 |
| J3490 |
Unclassified drugs |
183 |
159 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
14 |
14 |
$0.00 |
| 99000 |
|
14 |
13 |
$0.00 |