| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,291 |
6,097 |
$621K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,195 |
1,371 |
$376K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,953 |
2,412 |
$362K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,074 |
1,009 |
$300K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
339 |
224 |
$92K |
| A4267 |
Contraceptive supply, condom, male, each |
1,389 |
1,372 |
$21K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
1,226 |
1,226 |
$16K |
| 99000 |
|
1,439 |
1,406 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
75 |
75 |
$5K |
| 81025 |
|
304 |
299 |
$856.92 |
| 81000 |
|
50 |
49 |
$110.28 |
| 81002 |
|
34 |
34 |
$61.06 |