| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,192 |
9,413 |
$544K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,527 |
4,145 |
$172K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
573 |
282 |
$9K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,211 |
1,177 |
$7K |
| 90686 |
|
172 |
162 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
39 |
38 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
41 |
41 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
26 |
26 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
70 |
65 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$709.37 |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
13 |
13 |
$708.89 |
| 90656 |
|
15 |
15 |
$188.88 |
| 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) |
278 |
259 |
$84.94 |
| 3074F |
|
12 |
12 |
$0.00 |