| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
504 |
480 |
$37K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
89 |
88 |
$10K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
312 |
199 |
$4K |
| 99050 |
|
58 |
57 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$483.77 |
| 90461 |
|
14 |
13 |
$461.40 |
| 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) |
30 |
29 |
$383.04 |
| 96160 |
|
13 |
13 |
$42.06 |
| 90686 |
|
15 |
15 |
$6.00 |