| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
27,438 |
26,802 |
$895K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
4,087 |
4,075 |
$203K |
| 76536 |
|
919 |
912 |
$38K |
| 99490 |
Ccm add 20min |
2,506 |
2,470 |
$25K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
981 |
949 |
$21K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
325 |
322 |
$13K |
| G8484 |
Influenza immunization was not administered, reason not given |
7,801 |
7,512 |
$885.37 |
| 99487 |
Ccm add 20min |
31 |
31 |
$808.51 |
| 93880 |
|
26 |
26 |
$169.78 |
| G8482 |
Influenza immunization administered or previously received |
14 |
12 |
$0.00 |