| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,992 |
6,488 |
$493K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,017 |
4,668 |
$235K |
| 99215 |
Prolong outpt/office vis |
464 |
434 |
$31K |
| 90686 |
|
275 |
264 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
15 |
$2K |
| 90656 |
|
14 |
13 |
$211.82 |
| 99442 |
|
13 |
13 |
$160.13 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
13 |
12 |
$150.05 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
27 |
25 |
$134.55 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
29 |
27 |
$105.87 |
| G0008 |
Administration of influenza virus vaccine |
13 |
13 |
$0.00 |
| 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) |
63 |
60 |
$0.00 |