| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
7,179 |
6,393 |
$599K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,705 |
2,582 |
$153K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,347 |
858 |
$137K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
698 |
634 |
$109K |
| J3490 |
Unclassified drugs |
1,632 |
1,341 |
$102K |
| Z1034 |
|
1,832 |
1,328 |
$100K |
| A4267 |
Contraceptive supply, condom, male, each |
2,530 |
2,528 |
$22K |
| 99000 |
|
5,248 |
4,806 |
$17K |
| Z1032 |
|
88 |
88 |
$15K |
| Z6412 |
|
682 |
353 |
$10K |
| Z6500 |
|
73 |
73 |
$9K |
| Z6410 |
|
1,077 |
789 |
$8K |
| 99201 |
|
64 |
64 |
$8K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
514 |
514 |
$7K |
| Z6400 |
|
543 |
487 |
$6K |
| 81025 |
|
1,069 |
1,058 |
$3K |
| Z6204 |
|
123 |
120 |
$2K |
| 99401 |
|
69 |
69 |
$1K |
| Z6304 |
|
64 |
64 |
$554.11 |
| Z6406 |
|
67 |
65 |
$509.47 |
| 81002 |
|
110 |
110 |
$55.04 |