| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,277 |
6,357 |
$387K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,511 |
6,331 |
$324K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
341 |
307 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
100 |
93 |
$2K |
| 90674 |
|
91 |
80 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
12 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$1K |
| 0012A |
|
39 |
39 |
$868.80 |
| 90686 |
|
63 |
61 |
$836.98 |
| 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) |
160 |
148 |
$547.26 |
| 0011A |
|
30 |
30 |
$440.46 |
| 90688 |
|
26 |
26 |
$351.46 |
| 99442 |
|
16 |
15 |
$230.42 |
| 99443 |
|
15 |
15 |
$115.66 |
| 82947 |
|
137 |
114 |
$108.91 |
| 93000 |
|
13 |
13 |
$98.75 |
| G0008 |
Administration of influenza virus vaccine |
16 |
15 |
$0.00 |
| 91301 |
|
12 |
12 |
$0.00 |