| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
737 |
694 |
$105K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
162 |
162 |
$61K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
273 |
269 |
$60K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
71 |
71 |
$24K |
| J3490 |
Unclassified drugs |
144 |
108 |
$5K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
20 |
20 |
$4K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
293 |
293 |
$4K |
| A4267 |
Contraceptive supply, condom, male, each |
569 |
549 |
$4K |
| S5000 |
Prescription drug, generic |
53 |
53 |
$515.89 |
| 81025 |
|
183 |
183 |
$512.40 |
| 99000 |
|
54 |
54 |
$196.02 |