| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
5,680 |
3,851 |
$455K |
| Q3014 |
Telehealth originating site facility fee |
511 |
428 |
$241K |
| 0011A |
|
348 |
327 |
$168K |
| 0012A |
|
316 |
305 |
$156K |
| 0001A |
|
311 |
297 |
$154K |
| 0002A |
|
297 |
281 |
$145K |
| 0124A |
|
205 |
204 |
$129K |
| 0064A |
|
90 |
90 |
$51K |
| 0054A |
|
51 |
51 |
$31K |
| 0154A |
|
38 |
38 |
$24K |
| 0004A |
|
43 |
43 |
$22K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,111 |
1,042 |
$15K |
| 0072A |
|
24 |
24 |
$12K |
| 0081A |
|
17 |
17 |
$11K |
| 0071A |
|
15 |
15 |
$8K |
| 99050 |
|
144 |
134 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
13 |
$514.44 |
| G0008 |
Administration of influenza virus vaccine |
63 |
63 |
$71.88 |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
28 |
28 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
13 |
12 |
$0.00 |