| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,708 |
6,023 |
$346K |
| 99199 |
Unlisted special service, procedure or report |
23,996 |
14,545 |
$154K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,581 |
2,106 |
$88K |
| 99406 |
|
897 |
786 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
97 |
68 |
$4K |
| 90674 |
|
228 |
202 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
197 |
149 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
19 |
18 |
$1K |
| 99443 |
|
28 |
26 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
69 |
42 |
$775.84 |
| 90686 |
|
72 |
63 |
$759.94 |
| 90715 |
|
50 |
29 |
$661.81 |
| 82962 |
|
354 |
333 |
$399.02 |
| 90661 |
|
28 |
26 |
$360.47 |
| 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) |
63 |
60 |
$154.68 |
| 90756 |
|
29 |
26 |
$59.85 |
| 82947 |
|
17 |
14 |
$29.04 |
| 3008F |
|
1,848 |
1,645 |
$0.00 |
| 3074F |
|
353 |
324 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
114 |
112 |
$0.00 |
| 3048F |
|
345 |
323 |
$0.00 |
| 3061F |
|
12 |
12 |
$0.00 |
| 4010F |
|
14 |
13 |
$0.00 |
| 3075F |
|
17 |
17 |
$0.00 |
| 3079F |
|
31 |
27 |
$0.00 |
| 99072 |
|
755 |
709 |
$0.00 |
| 3078F |
|
687 |
632 |
$0.00 |
| 90653 |
|
13 |
13 |
$0.00 |
| 3077F |
|
38 |
31 |
$0.00 |
| 90662 |
|
15 |
13 |
$0.00 |