| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,176 |
1,107 |
$31K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
813 |
761 |
$15K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
12 |
12 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
31 |
31 |
$503.39 |
| 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) |
58 |
57 |
$139.68 |
| 36415 |
Collection of venous blood by venipuncture |
86 |
79 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
37 |
37 |
$0.00 |
| 90662 |
|
17 |
17 |
$0.00 |
| 3288F |
|
12 |
12 |
$0.00 |