| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,391 |
11,045 |
$625K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,965 |
2,916 |
$270K |
| 90686 |
|
574 |
567 |
$3K |
| 99442 |
|
36 |
34 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
14 |
$1K |
| 90461 |
|
38 |
29 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$961.44 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
79 |
76 |
$908.92 |
| 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) |
56 |
54 |
$747.06 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
52 |
52 |
$662.44 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
18 |
13 |
$435.53 |
| 90715 |
|
43 |
41 |
$182.90 |