| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,780 |
3,354 |
$280K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,021 |
2,781 |
$171K |
| 99215 |
Prolong outpt/office vis |
79 |
74 |
$8K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
42 |
42 |
$4K |
| 99205 |
Prolong outpt/office vis |
25 |
25 |
$3K |
| 99307 |
|
70 |
59 |
$2K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
28 |
26 |
$2K |
| 90756 |
|
61 |
59 |
$1K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
32 |
20 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
51 |
50 |
$779.94 |
| 81002 |
|
294 |
286 |
$718.70 |
| 90661 |
|
23 |
23 |
$550.89 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
19 |
18 |
$484.00 |
| 96127 |
|
172 |
172 |
$472.63 |
| 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) |
36 |
34 |
$153.94 |
| 3078F |
|
80 |
77 |
$0.00 |
| 3074F |
|
99 |
94 |
$0.00 |
| 3079F |
|
14 |
14 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
14 |
14 |
$0.00 |