| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,341 |
2,878 |
$208K |
| 99199 |
Unlisted special service, procedure or report |
25,931 |
15,844 |
$164K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
452 |
381 |
$20K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
29 |
25 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
1,560 |
1,334 |
$3K |
| 90756 |
|
50 |
46 |
$720.64 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
31 |
26 |
$314.05 |
| 99441 |
|
16 |
12 |
$261.40 |
| 96127 |
|
54 |
48 |
$143.80 |
| 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) |
14 |
14 |
$18.81 |
| 99072 |
|
141 |
129 |
$0.00 |
| 3008F |
|
923 |
759 |
$0.00 |
| 3048F |
|
81 |
63 |
$0.00 |
| 3074F |
|
44 |
38 |
$0.00 |
| 3079F |
|
16 |
13 |
$0.00 |
| 3049F |
|
15 |
12 |
$0.00 |