| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,437 |
2,294 |
$349K |
| J3490 |
Unclassified drugs |
2,906 |
2,281 |
$122K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
136 |
135 |
$28K |
| 99402 |
|
477 |
472 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
43 |
42 |
$10K |
| S4993 |
Contraceptive pills for birth control |
234 |
234 |
$9K |
| A4267 |
Contraceptive supply, condom, male, each |
1,459 |
1,409 |
$7K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
345 |
345 |
$4K |
| 81025 |
|
739 |
724 |
$2K |
| 99401 |
|
103 |
102 |
$2K |
| S5199 |
Personal care item, nos, each |
1,377 |
1,312 |
$565.53 |
| 99000 |
|
147 |
147 |
$533.61 |
| 86780 |
|
12 |
12 |
$109.44 |