| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,340 |
6,749 |
$296K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,269 |
2,132 |
$139K |
| 0001A |
|
1,478 |
1,422 |
$60K |
| 0002A |
|
1,091 |
1,070 |
$48K |
| 90686 |
|
392 |
381 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
15 |
$2K |
| 0004A |
|
293 |
293 |
$863.17 |
| 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) |
326 |
294 |
$714.28 |
| G0008 |
Administration of influenza virus vaccine |
57 |
57 |
$691.40 |
| 0054A |
|
156 |
156 |
$480.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
36 |
26 |
$302.71 |
| 0124A |
|
33 |
33 |
$222.00 |
| 0052A |
|
98 |
98 |
$180.00 |
| 0051A |
|
53 |
53 |
$40.00 |
| 90656 |
|
66 |
66 |
$0.00 |
| 3008F |
|
707 |
671 |
$0.00 |