| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,600 |
2,216 |
$144K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,643 |
3,133 |
$113K |
| T1015 |
Clinic visit/encounter, all-inclusive |
879 |
511 |
$16K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
147 |
83 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
267 |
198 |
$2K |
| 90686 |
|
137 |
114 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
87 |
80 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$768.40 |
| 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) |
34 |
33 |
$193.88 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
12 |
$189.90 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
160 |
134 |
$26.00 |