| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
376 |
376 |
$70K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
89 |
83 |
$24K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,957 |
2,664 |
$22K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
199 |
187 |
$18K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
441 |
441 |
$6K |
| 92551 |
|
461 |
454 |
$2K |
| A4267 |
Contraceptive supply, condom, male, each |
180 |
180 |
$2K |
| 99000 |
|
477 |
477 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
191 |
183 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$743.13 |
| 85018 |
|
447 |
447 |
$316.71 |
| 92557 |
|
50 |
50 |
$237.60 |
| 81002 |
|
366 |
366 |
$163.99 |
| 92552 |
|
13 |
13 |
$118.02 |
| 99173 |
|
155 |
151 |
$42.88 |
| 3078F |
|
42 |
35 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$0.00 |
| 3075F |
|
15 |
13 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
15 |
15 |
$0.00 |
| 3008F |
|
136 |
116 |
$0.00 |
| 92499 |
|
26 |
26 |
$0.00 |
| 3074F |
|
26 |
22 |
$0.00 |