| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,124 |
2,900 |
$296K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,735 |
3,213 |
$289K |
| 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) |
391 |
359 |
$6K |
| 96160 |
|
911 |
823 |
$3K |
| 90756 |
|
174 |
151 |
$3K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
39 |
37 |
$2K |
| 90688 |
|
106 |
90 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
222 |
210 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
59 |
54 |
$1K |
| 90686 |
|
59 |
48 |
$975.83 |
| 90656 |
|
30 |
30 |
$553.84 |
| 0012A |
|
13 |
12 |
$520.00 |
| 0064A |
|
12 |
12 |
$480.00 |
| 0054A |
|
16 |
16 |
$405.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
17 |
12 |
$239.65 |
| G0008 |
Administration of influenza virus vaccine |
15 |
15 |
$96.18 |
| 36415 |
Collection of venous blood by venipuncture |
29 |
27 |
$60.23 |
| 90653 |
|
16 |
16 |
$50.74 |
| G8539 |
Functional outcome assessment documented as positive using a standardized tool and a care plan based on identified deficiencies is documented within two days of the functional outcome assessment |
556 |
497 |
$0.00 |