| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,415 |
4,069 |
$461K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,670 |
1,529 |
$127K |
| 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) |
697 |
614 |
$13K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
426 |
418 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
30 |
29 |
$5K |
| 90686 |
|
339 |
326 |
$4K |
| 0054A |
|
29 |
24 |
$688.38 |
| 90715 |
|
13 |
13 |
$401.96 |
| 0124A |
|
12 |
12 |
$381.40 |
| 99421 |
|
17 |
17 |
$241.11 |
| 90656 |
|
13 |
12 |
$209.80 |
| 36415 |
Collection of venous blood by venipuncture |
27 |
27 |
$150.00 |
| D0191 |
|
21 |
21 |
$148.50 |
| 96127 |
|
13 |
12 |
$101.99 |
| 91305 |
|
29 |
24 |
$0.02 |
| 91300 |
|
38 |
37 |
$0.00 |
| 91312 |
|
12 |
12 |
$0.00 |