| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99199 |
Unlisted special service, procedure or report |
36,602 |
15,679 |
$194K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,092 |
1,523 |
$83K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,929 |
1,463 |
$64K |
| 99336 |
|
1,145 |
730 |
$29K |
| 99335 |
|
549 |
357 |
$10K |
| 99337 |
|
145 |
96 |
$7K |
| 99349 |
|
203 |
170 |
$6K |
| 99406 |
|
627 |
546 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
26 |
26 |
$177.59 |
| 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) |
28 |
26 |
$63.74 |
| 3074F |
|
347 |
278 |
$0.17 |
| 1160F |
|
652 |
523 |
$0.15 |
| 3078F |
|
343 |
275 |
$0.11 |
| 1125F |
|
146 |
124 |
$0.07 |
| 1159F |
|
117 |
84 |
$0.03 |
| 3044F |
|
158 |
137 |
$0.02 |
| 1126F |
|
149 |
132 |
$0.01 |
| 1090F |
|
88 |
83 |
$0.00 |
| 1170F |
|
30 |
24 |
$0.00 |
| 4010F |
|
14 |
14 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
13 |
13 |
$0.00 |
| 90674 |
|
28 |
22 |
$0.00 |
| 3079F |
|
15 |
14 |
$0.00 |