| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,162 |
1,493 |
$129K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,293 |
860 |
$105K |
| 90662 |
|
39 |
39 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
32 |
17 |
$2K |
| G0008 |
Administration of influenza virus vaccine |
41 |
41 |
$597.50 |
| 0011A |
|
32 |
32 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
301 |
288 |
$0.00 |
| 0012A |
|
38 |
38 |
$0.00 |
| 90686 |
|
132 |
124 |
$0.00 |
| 91301 |
|
78 |
72 |
$0.00 |
| 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) |
14 |
12 |
$0.00 |