| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,291 |
6,019 |
$862K |
| 99215 |
Prolong outpt/office vis |
2,766 |
2,342 |
$291K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
490 |
403 |
$71K |
| A4267 |
Contraceptive supply, condom, male, each |
1,258 |
1,258 |
$12K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$4K |
| 81002 |
|
806 |
806 |
$2K |
| 99000 |
|
77 |
77 |
$666.47 |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
52 |
52 |
$661.44 |
| 81025 |
|
115 |
114 |
$353.60 |