| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,189 |
2,137 |
$197K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,068 |
990 |
$52K |
| S4993 |
Contraceptive pills for birth control |
289 |
224 |
$38K |
| 36415 |
Collection of venous blood by venipuncture |
3,461 |
3,308 |
$16K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
192 |
173 |
$14K |
| G0433 |
Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique, hiv-1 and/or hiv-2, screening |
591 |
549 |
$9K |
| 99215 |
Prolong outpt/office vis |
26 |
25 |
$4K |
| 87806 |
|
53 |
53 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
25 |
24 |
$2K |
| A4267 |
Contraceptive supply, condom, male, each |
239 |
203 |
$1K |
| 81025 |
|
184 |
165 |
$1K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
32 |
27 |
$1K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
30 |
27 |
$1K |
| 84403 |
|
26 |
26 |
$529.48 |
| 87210 |
|
97 |
90 |
$474.85 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
65 |
50 |
$468.77 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
20 |
14 |
$337.71 |
| 99072 |
|
114 |
99 |
$202.98 |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
64 |
48 |
$196.26 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
650 |
627 |
$147.53 |