| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
847 |
839 |
$132K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
992 |
965 |
$105K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,043 |
1,020 |
$82K |
| J3490 |
Unclassified drugs |
2,028 |
1,899 |
$59K |
| 87806 |
|
2,119 |
2,099 |
$56K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
323 |
320 |
$51K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
136 |
133 |
$40K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
110 |
110 |
$29K |
| 90651 |
|
98 |
98 |
$22K |
| S4993 |
Contraceptive pills for birth control |
222 |
219 |
$22K |
| A4267 |
Contraceptive supply, condom, male, each |
1,020 |
1,006 |
$7K |
| 81025 |
|
2,215 |
2,151 |
$7K |
| 99000 |
|
1,655 |
1,637 |
$6K |
| S5000 |
Prescription drug, generic |
749 |
716 |
$4K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
283 |
283 |
$4K |
| 83986 |
|
604 |
594 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
30 |
25 |
$2K |
| S5199 |
Personal care item, nos, each |
959 |
945 |
$1K |
| Q0111 |
Wet mounts, including preparations of vaginal, cervical or skin specimens |
150 |
147 |
$549.00 |
| 82120 |
|
107 |
106 |
$442.06 |
| 87210 |
|
106 |
105 |
$387.68 |
| 81002 |
|
93 |
92 |
$190.06 |