| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
185 |
178 |
$12K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
71 |
71 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$138.86 |
| 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) |
77 |
75 |
$3.18 |
| 1159F |
|
29 |
27 |
$0.00 |
| 1160F |
|
29 |
27 |
$0.00 |
| 3078F |
|
157 |
152 |
$0.00 |
| 1036F |
|
171 |
164 |
$0.00 |
| 3074F |
|
202 |
196 |
$0.00 |
| 3079F |
|
97 |
91 |
$0.00 |