| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
467 |
438 |
$66K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
148 |
146 |
$33K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
88 |
88 |
$30K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
65 |
65 |
$826.80 |
| S5000 |
Prescription drug, generic |
75 |
67 |
$705.77 |
| 99000 |
|
120 |
118 |
$435.60 |
| A4267 |
Contraceptive supply, condom, male, each |
43 |
43 |
$300.83 |
| Q0111 |
Wet mounts, including preparations of vaginal, cervical or skin specimens |
26 |
26 |
$76.18 |
| 81025 |
|
25 |
25 |
$70.00 |