| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,810 |
1,442 |
$59K |
| 99199 |
Unlisted special service, procedure or report |
9,939 |
5,529 |
$47K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
373 |
299 |
$13K |
| 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) |
440 |
369 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
55 |
44 |
$791.43 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
28 |
20 |
$451.92 |
| 36415 |
Collection of venous blood by venipuncture |
493 |
409 |
$346.22 |
| 90688 |
|
18 |
12 |
$65.40 |
| 90686 |
|
22 |
13 |
$54.27 |
| 1160F |
|
1,794 |
1,468 |
$0.00 |
| 3078F |
|
1,271 |
1,107 |
$0.00 |
| 1159F |
|
1,794 |
1,468 |
$0.00 |
| 3725F |
|
2,082 |
1,688 |
$0.00 |
| 3077F |
|
62 |
58 |
$0.00 |
| 3288F |
|
31 |
25 |
$0.00 |
| 3008F |
|
2,960 |
2,517 |
$0.00 |
| 1125F |
|
1,199 |
964 |
$0.00 |
| 3074F |
|
1,303 |
1,114 |
$0.00 |
| 1126F |
|
875 |
747 |
$0.00 |
| 3079F |
|
250 |
218 |
$0.00 |
| 3075F |
|
58 |
50 |
$0.00 |
| 3080F |
|
16 |
14 |
$0.00 |
| 3044F |
|
13 |
12 |
$0.00 |