| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
309 |
264 |
$38K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
31 |
30 |
$3K |
| A4267 |
Contraceptive supply, condom, male, each |
207 |
207 |
$2K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
136 |
136 |
$1K |
| S5199 |
Personal care item, nos, each |
207 |
207 |
$255.42 |
| 99000 |
|
14 |
14 |
$50.82 |