| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,043 |
2,837 |
$185K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
891 |
845 |
$46K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
278 |
277 |
$30K |
| 99215 |
Prolong outpt/office vis |
169 |
157 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
187 |
163 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
57 |
57 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
110 |
107 |
$2K |
| 99457 |
|
191 |
180 |
$1K |
| 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) |
404 |
373 |
$802.65 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
25 |
25 |
$797.55 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
48 |
47 |
$484.76 |
| 99458 |
|
71 |
66 |
$437.56 |
| 99454 |
|
50 |
50 |
$308.74 |
| 90688 |
|
17 |
17 |
$143.36 |
| 80305 |
|
18 |
16 |
$107.04 |