| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,172 |
1,138 |
$32K |
| S4993 |
Contraceptive pills for birth control |
211 |
207 |
$20K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
452 |
440 |
$8K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
106 |
106 |
$7K |
| A4267 |
Contraceptive supply, condom, male, each |
1,028 |
985 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
120 |
118 |
$5K |
| 81025 |
|
634 |
622 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
233 |
233 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
58 |
58 |
$3K |
| 87210 |
|
513 |
510 |
$2K |
| G0433 |
Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique, hiv-1 and/or hiv-2, screening |
56 |
56 |
$844.80 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
15 |
14 |
$152.74 |