| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,353 |
2,116 |
$22K |
| 99490 |
Ccm add 20min |
238 |
238 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
108 |
92 |
$897.29 |
| 99439 |
|
30 |
30 |
$426.57 |
| 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) |
122 |
115 |
$394.91 |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
40 |
40 |
$137.73 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
26 |
26 |
$71.70 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
15 |
15 |
$0.00 |
| 90686 |
|
17 |
17 |
$0.00 |