| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,969 |
2,599 |
$18K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
86 |
86 |
$16K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
315 |
290 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,542 |
3,100 |
$2K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
142 |
142 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
14 |
$1K |
| 99000 |
|
166 |
163 |
$599.94 |
| 81025 |
|
145 |
140 |
$406.00 |
| 92551 |
|
23 |
22 |
$253.46 |
| A4267 |
Contraceptive supply, condom, male, each |
17 |
17 |
$170.00 |
| 92552 |
|
12 |
12 |
$108.90 |
| 3074F |
|
14 |
14 |
$15.00 |
| 99243 |
|
32 |
31 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
14 |
14 |
$0.00 |
| 99441 |
|
14 |
14 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
85 |
80 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
26 |
26 |
$0.00 |