| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,625 |
2,455 |
$124K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
572 |
540 |
$17K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
791 |
768 |
$13K |
| 99348 |
|
368 |
367 |
$11K |
| 99215 |
Prolong outpt/office vis |
91 |
86 |
$6K |
| 99401 |
|
336 |
317 |
$6K |
| 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) |
561 |
535 |
$4K |
| 99407 |
|
152 |
145 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
89 |
88 |
$2K |
| G0008 |
Administration of influenza virus vaccine |
166 |
166 |
$1K |
| 90686 |
|
117 |
117 |
$1K |
| 99406 |
|
56 |
52 |
$435.61 |
| 99334 |
|
13 |
13 |
$298.22 |
| 90656 |
|
26 |
26 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
67 |
63 |
$0.00 |