| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,763 |
3,434 |
$161K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,421 |
1,331 |
$85K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
411 |
375 |
$7K |
| 90688 |
|
140 |
134 |
$2K |
| 90674 |
|
71 |
69 |
$1K |
| 90686 |
|
73 |
73 |
$1K |
| 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) |
88 |
82 |
$600.15 |
| 90653 |
|
24 |
24 |
$166.98 |
| 90694 |
|
44 |
39 |
$62.22 |
| G0008 |
Administration of influenza virus vaccine |
129 |
124 |
$0.00 |
| 90662 |
|
16 |
16 |
$0.00 |