| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
925 |
848 |
$23K |
| 81025 |
|
2,078 |
1,854 |
$13K |
| 99000 |
|
930 |
915 |
$8K |
| A4267 |
Contraceptive supply, condom, male, each |
1,524 |
1,339 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
451 |
414 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
137 |
133 |
$5K |
| S4993 |
Contraceptive pills for birth control |
42 |
42 |
$4K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
40 |
40 |
$3K |
| 80061 |
Lipid panel |
185 |
181 |
$1K |
| 81002 |
|
366 |
356 |
$982.84 |
| 85018 |
|
415 |
407 |
$707.25 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$657.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
48 |
44 |
$560.70 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
40 |
40 |
$508.46 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
153 |
143 |
$430.03 |
| 87210 |
|
86 |
86 |
$253.80 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
25 |
25 |
$23.13 |