| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,644 |
1,452 |
$90K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,085 |
990 |
$42K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
340 |
310 |
$18K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
84 |
82 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
583 |
561 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
291 |
280 |
$878.33 |
| 90686 |
|
66 |
64 |
$269.13 |
| 90670 |
|
31 |
28 |
$129.53 |
| 90656 |
|
26 |
26 |
$115.84 |
| 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) |
41 |
39 |
$89.11 |
| 90474 |
|
14 |
12 |
$20.72 |
| 90723 |
|
27 |
24 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |
| 90647 |
|
15 |
12 |
$0.00 |