| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,482 |
9,044 |
$569K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,854 |
3,673 |
$144K |
| 64483 |
|
488 |
485 |
$135K |
| 64484 |
|
623 |
317 |
$89K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
510 |
505 |
$52K |
| 20553 |
|
814 |
798 |
$50K |
| 99443 |
|
562 |
524 |
$31K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
990 |
981 |
$12K |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
657 |
593 |
$10K |
| 99442 |
|
12 |
12 |
$502.65 |
| 3288F |
|
13 |
12 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
14 |
13 |
$0.00 |
| 1090F |
|
14 |
13 |
$0.00 |
| 1006F |
|
14 |
13 |
$0.00 |
| 1036F |
|
15 |
14 |
$0.00 |