| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,869 |
5,315 |
$445K |
| 99199 |
Unlisted special service, procedure or report |
45,684 |
25,941 |
$295K |
| 99215 |
Prolong outpt/office vis |
834 |
546 |
$47K |
| 99490 |
Ccm add 20min |
2,646 |
1,397 |
$12K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
200 |
164 |
$9K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
74 |
52 |
$669.51 |
| 90686 |
|
12 |
12 |
$175.02 |
| 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) |
17 |
15 |
$48.68 |