| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
873 |
637 |
$4K |
| 0011A |
|
17 |
14 |
$448.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
17 |
13 |
$347.40 |
| 0012A |
|
15 |
12 |
$260.80 |
| 90756 |
|
31 |
25 |
$222.15 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
67 |
45 |
$212.74 |
| 90674 |
|
25 |
21 |
$145.05 |
| 0124A |
|
19 |
16 |
$110.40 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
185 |
133 |
$109.86 |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
24 |
21 |
$36.48 |
| G0008 |
Administration of influenza virus vaccine |
59 |
49 |
$32.37 |
| 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) |
12 |
12 |
$31.64 |
| 36415 |
Collection of venous blood by venipuncture |
60 |
51 |
$12.60 |
| 90662 |
|
24 |
15 |
$0.00 |