| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,916 |
8,030 |
$715K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
555 |
497 |
$63K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
323 |
312 |
$41K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
102 |
101 |
$13K |
| 90686 |
|
154 |
144 |
$2K |
| 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) |
35 |
30 |
$2K |
| 99050 |
|
13 |
13 |
$180.00 |
| G0008 |
Administration of influenza virus vaccine |
29 |
29 |
$0.00 |