| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
683 |
668 |
$53K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
918 |
898 |
$51K |
| 94060 |
|
218 |
218 |
$9K |
| 94729 |
|
196 |
195 |
$7K |
| 94726 |
|
158 |
157 |
$6K |
| 99223 |
Prolong inpt eval add15 m |
32 |
31 |
$4K |
| 99222 |
Initial hospital care, per day, moderate complexity |
39 |
39 |
$3K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
53 |
33 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$942.01 |
| 99442 |
|
18 |
15 |
$565.46 |
| 90686 |
|
12 |
12 |
$228.18 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$138.51 |
| 94760 |
|
321 |
319 |
$117.99 |
| 94761 |
|
12 |
12 |
$17.46 |
| 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) |
12 |
12 |
$0.00 |