| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18,142 |
10,424 |
$1.20M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,790 |
2,050 |
$115K |
| 99199 |
Unlisted special service, procedure or report |
9,609 |
9,585 |
$60K |
| 80305 |
|
5,545 |
3,738 |
$55K |
| 90682 |
|
166 |
90 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
33 |
12 |
$2K |
| 99406 |
|
145 |
86 |
$916.26 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
253 |
138 |
$855.22 |
| 20610 |
|
26 |
13 |
$853.02 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
62 |
37 |
$719.51 |
| 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) |
152 |
137 |
$391.88 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
21 |
14 |
$262.54 |
| 90686 |
|
23 |
17 |
$177.29 |
| G0008 |
Administration of influenza virus vaccine |
84 |
46 |
$16.26 |
| 2014F |
|
20 |
12 |
$0.00 |