| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,858 |
3,994 |
$192K |
| 90674 |
|
140 |
134 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
30 |
30 |
$555.50 |
| 90756 |
|
53 |
37 |
$290.99 |
| 0011A |
|
36 |
36 |
$282.64 |
| 0012A |
|
37 |
37 |
$242.20 |
| 82947 |
|
92 |
86 |
$98.06 |
| 0013A |
|
14 |
14 |
$80.88 |
| 90662 |
|
40 |
40 |
$0.00 |
| 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) |
16 |
13 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
159 |
146 |
$0.00 |