| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,911 |
1,672 |
$240K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
519 |
421 |
$102K |
| 99403 |
|
618 |
546 |
$27K |
| J3490 |
Unclassified drugs |
602 |
522 |
$24K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
86 |
86 |
$15K |
| S4993 |
Contraceptive pills for birth control |
369 |
367 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
109 |
109 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
25 |
25 |
$10K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
302 |
302 |
$4K |
| 99000 |
|
522 |
521 |
$2K |
| S5000 |
Prescription drug, generic |
189 |
155 |
$805.61 |
| Q0111 |
Wet mounts, including preparations of vaginal, cervical or skin specimens |
151 |
140 |
$422.50 |
| 81025 |
|
144 |
138 |
$393.96 |
| 83986 |
|
159 |
154 |
$392.91 |
| 99402 |
|
12 |
12 |
$381.48 |
| Q0144 |
Azithromycin dihydrate, oral, capsules/powder, 1 gram |
12 |
12 |
$43.68 |