| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,213 |
2,211 |
$665K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,578 |
1,576 |
$395K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,356 |
3,130 |
$364K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,636 |
1,584 |
$277K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,231 |
2,198 |
$184K |
| A4267 |
Contraceptive supply, condom, male, each |
5,476 |
5,471 |
$82K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
3,291 |
3,291 |
$42K |
| 99000 |
|
4,372 |
4,330 |
$16K |
| 81025 |
|
2,586 |
2,524 |
$7K |
| 81000 |
|
1,864 |
1,826 |
$4K |
| 99403 |
|
36 |
34 |
$2K |
| 99402 |
|
38 |
38 |
$1K |