| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,746 |
3,143 |
$350K |
| J3490 |
Unclassified drugs |
1,175 |
951 |
$104K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
262 |
201 |
$43K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
191 |
191 |
$2K |
| 81025 |
|
666 |
659 |
$2K |
| 99000 |
|
175 |
175 |
$635.25 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
403 |
367 |
$503.85 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
719 |
631 |
$319.62 |
| A4267 |
Contraceptive supply, condom, male, each |
38 |
38 |
$234.08 |
| 90656 |
|
15 |
15 |
$0.00 |
| 96156 |
|
12 |
12 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
17 |
17 |
$0.00 |