| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,513 |
7,811 |
$496K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,025 |
2,564 |
$211K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,396 |
1,100 |
$26K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,242 |
910 |
$14K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
129 |
112 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
59 |
57 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
339 |
311 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
52 |
51 |
$211.89 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
44 |
38 |
$175.48 |
| 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) |
78 |
67 |
$38.10 |
| 90658 |
|
17 |
16 |
$0.00 |