| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,851 |
8,571 |
$439K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,163 |
7,209 |
$309K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
642 |
635 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
84 |
82 |
$2K |
| 90686 |
|
205 |
202 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
58 |
55 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
38 |
38 |
$573.54 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
12 |
$512.58 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
81 |
72 |
$495.69 |
| 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) |
57 |
43 |
$83.20 |
| 1159F |
|
101 |
86 |
$0.00 |
| 3078F |
|
774 |
674 |
$0.00 |
| 1160F |
|
312 |
268 |
$0.00 |
| 3077F |
|
65 |
56 |
$0.00 |
| 3079F |
|
370 |
338 |
$0.00 |
| 3074F |
|
921 |
794 |
$0.00 |
| 3075F |
|
114 |
104 |
$0.00 |
| 1126F |
|
233 |
197 |
$0.00 |
| 3080F |
|
14 |
13 |
$0.00 |
| 94760 |
|
12 |
12 |
$0.00 |