| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,657 |
1,590 |
$215K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
820 |
801 |
$160K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
1,413 |
1,413 |
$18K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
98 |
98 |
$16K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
56 |
56 |
$14K |
| 99401 |
|
399 |
394 |
$7K |
| A4267 |
Contraceptive supply, condom, male, each |
678 |
678 |
$5K |
| A4268 |
Contraceptive supply, condom, female, each |
832 |
832 |
$2K |
| S5199 |
Personal care item, nos, each |
676 |
676 |
$679.14 |