| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,179 |
3,078 |
$185K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,383 |
4,200 |
$177K |
| 80305 |
|
275 |
225 |
$4K |
| G0008 |
Administration of influenza virus vaccine |
62 |
61 |
$640.00 |
| 90656 |
|
203 |
202 |
$190.48 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12 |
12 |
$175.58 |
| 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) |
74 |
70 |
$75.84 |
| 90686 |
|
272 |
257 |
$0.00 |
| 90677 |
|
158 |
140 |
$0.00 |
| 90651 |
|
99 |
94 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |
| 3008F |
|
25 |
25 |
$0.00 |
| 90698 |
|
46 |
46 |
$0.00 |
| 90619 |
|
29 |
29 |
$0.00 |
| 91320 |
|
73 |
71 |
$0.00 |
| 90670 |
|
28 |
28 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
114 |
112 |
$0.00 |
| 90715 |
|
28 |
28 |
$0.00 |
| 0124A |
|
20 |
16 |
$0.00 |
| 90633 |
|
13 |
12 |
$0.00 |