| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
282 |
253 |
$17K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
28 |
27 |
$1K |
| 90656 |
|
12 |
12 |
$217.20 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$181.72 |
| 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) |
129 |
111 |
$19.63 |
| 3079F |
|
66 |
58 |
$0.00 |
| 3074F |
|
354 |
320 |
$0.00 |
| 1036F |
|
365 |
325 |
$0.00 |
| 3078F |
|
313 |
289 |
$0.00 |