| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
532 |
530 |
$107K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
816 |
810 |
$106K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,002 |
1,002 |
$98K |
| S4993 |
Contraceptive pills for birth control |
577 |
577 |
$69K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
217 |
217 |
$63K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
262 |
262 |
$47K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
571 |
571 |
$37K |
| A4267 |
Contraceptive supply, condom, male, each |
2,627 |
2,626 |
$29K |
| S5001 |
Prescription drug, brand name |
618 |
584 |
$7K |
| Z1034 |
|
101 |
67 |
$5K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
402 |
402 |
$5K |
| 99000 |
|
1,192 |
1,191 |
$4K |
| 81025 |
|
1,032 |
1,030 |
$3K |
| Q0111 |
Wet mounts, including preparations of vaginal, cervical or skin specimens |
736 |
725 |
$3K |
| 83986 |
|
734 |
723 |
$2K |
| 81002 |
|
123 |
123 |
$218.70 |