| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
681 |
595 |
$28K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,000 |
863 |
$26K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
283 |
238 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
29 |
29 |
$951.30 |
| 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) |
290 |
227 |
$392.00 |
| 90686 |
|
13 |
13 |
$267.22 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
15 |
$220.50 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$49.74 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
13 |
12 |
$11.28 |
| 3074F |
|
1,338 |
1,102 |
$0.02 |
| 3078F |
|
1,090 |
910 |
$0.02 |
| 1036F |
|
141 |
85 |
$0.00 |
| 1034F |
|
83 |
53 |
$0.00 |
| 3044F |
|
745 |
580 |
$0.00 |
| 3008F |
|
1,910 |
1,536 |
$0.00 |
| 3075F |
|
229 |
202 |
$0.00 |
| 3079F |
|
571 |
488 |
$0.00 |
| 4010F |
|
229 |
185 |
$0.00 |
| 1159F |
|
1,861 |
1,565 |
$0.00 |
| 3725F |
|
216 |
136 |
$0.00 |
| 1160F |
|
1,780 |
1,503 |
$0.00 |