| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
709 |
709 |
$145K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
366 |
356 |
$48K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
78 |
78 |
$29K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
130 |
127 |
$13K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
126 |
126 |
$2K |
| 99402 |
|
12 |
12 |
$381.48 |
| A4267 |
Contraceptive supply, condom, male, each |
12 |
12 |
$144.00 |