| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
315 |
264 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
482 |
328 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
29 |
29 |
$594.50 |
| 90686 |
|
27 |
27 |
$538.65 |
| 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) |
87 |
75 |
$0.00 |
| 3078F |
|
145 |
119 |
$0.00 |
| 99080 |
|
997 |
262 |
$0.00 |
| 3074F |
|
79 |
66 |
$0.00 |
| 1000F |
|
50 |
40 |
$0.00 |