| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,141 |
1,744 |
$97K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
885 |
733 |
$58K |
| 96127 |
|
232 |
198 |
$926.83 |
| 90674 |
|
50 |
40 |
$900.14 |
| 0001A |
|
14 |
13 |
$530.00 |
| 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) |
155 |
121 |
$473.54 |
| 96160 |
|
208 |
175 |
$283.99 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
33 |
25 |
$57.66 |
| 91301 |
|
13 |
12 |
$0.00 |