| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,417 |
1,567 |
$51K |
| 99199 |
Unlisted special service, procedure or report |
2,061 |
2,039 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
267 |
167 |
$8K |
| 90688 |
|
126 |
59 |
$384.41 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
33 |
13 |
$188.20 |
| 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) |
114 |
102 |
$151.33 |
| G0008 |
Administration of influenza virus vaccine |
84 |
62 |
$0.00 |