| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
96 |
95 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15 |
14 |
$658.05 |
| 90686 |
|
13 |
13 |
$312.19 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$180.95 |
| 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) |
68 |
67 |
$3.13 |
| 3078F |
|
89 |
89 |
$0.00 |
| 3079F |
|
12 |
12 |
$0.00 |
| 3074F |
|
101 |
99 |
$0.00 |
| 1036F |
|
38 |
36 |
$0.00 |