| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
812 |
705 |
$68K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
167 |
164 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
27 |
25 |
$2K |
| 92551 |
|
113 |
113 |
$987.41 |
| 99051 |
|
33 |
33 |
$184.38 |
| 81000 |
|
85 |
85 |
$184.13 |
| 87070 |
|
21 |
19 |
$106.10 |
| 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) |
14 |
13 |
$80.00 |
| 99173 |
|
14 |
14 |
$27.21 |