| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,512 |
1,364 |
$90K |
| 99490 |
Ccm add 20min |
512 |
512 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25 |
24 |
$1K |
| 0012A |
|
27 |
27 |
$985.63 |
| 0011A |
|
19 |
19 |
$685.29 |
| G0008 |
Administration of influenza virus vaccine |
24 |
24 |
$228.54 |
| 90674 |
|
12 |
12 |
$215.86 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
34 |
33 |
$148.07 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
12 |
12 |
$35.92 |
| 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) |
84 |
68 |
$8.22 |
| 91301 |
|
47 |
45 |
$0.00 |