| Code | Description | Claims | Beneficiaries | Total Paid |
| 99199 |
Unlisted special service, procedure or report |
66,669 |
34,969 |
$383K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,116 |
4,522 |
$200K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
552 |
379 |
$12K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$2K |
| 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) |
52 |
47 |
$138.20 |
| 90686 |
|
16 |
12 |
$117.78 |
| 36415 |
Collection of venous blood by venipuncture |
84 |
57 |
$82.80 |
| G0008 |
Administration of influenza virus vaccine |
32 |
26 |
$23.46 |
| 94760 |
|
19 |
12 |
$6.51 |
| 3008F |
|
802 |
691 |
$0.02 |
| 3074F |
|
939 |
737 |
$0.00 |
| 3079F |
|
78 |
69 |
$0.00 |
| 3075F |
|
12 |
12 |
$0.00 |
| 1126F |
|
73 |
66 |
$0.00 |
| 1160F |
|
804 |
729 |
$0.00 |
| 3078F |
|
502 |
401 |
$0.00 |