| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,597 |
3,032 |
$233K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,919 |
1,570 |
$85K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
104 |
89 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
254 |
244 |
$5K |
| 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) |
256 |
199 |
$4K |
| 90686 |
|
55 |
42 |
$966.43 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$962.88 |
| 90688 |
|
14 |
14 |
$147.34 |
| 81025 |
|
18 |
16 |
$44.52 |
| 81003 |
|
13 |
13 |
$27.15 |
| 3078F |
|
171 |
154 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
191 |
172 |
$0.00 |
| 3288F |
|
146 |
129 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
197 |
131 |
$0.00 |
| 3725F |
|
170 |
153 |
$0.00 |
| 90461 |
|
26 |
15 |
$0.00 |
| 1036F |
|
189 |
170 |
$0.00 |
| 3008F |
|
220 |
199 |
$0.00 |
| 3074F |
|
180 |
162 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
15 |
$0.00 |