| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,042 |
588 |
$59K |
| 99349 |
|
1,131 |
706 |
$23K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
1,639 |
725 |
$14K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
466 |
265 |
$11K |
| 99205 |
Prolong outpt/office vis |
73 |
70 |
$7K |
| 99350 |
Prolong home eval add 15m |
136 |
107 |
$6K |
| 82075 |
|
235 |
184 |
$5K |
| 80305 |
|
315 |
244 |
$3K |
| 99458 |
|
712 |
712 |
$2K |
| 99454 |
|
763 |
761 |
$2K |
| 99457 |
|
712 |
712 |
$1K |
| 11721 |
|
117 |
107 |
$774.24 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$270.16 |
| 99491 |
Ccm add 20min |
282 |
282 |
$195.88 |
| 99328 |
|
15 |
14 |
$126.01 |
| 99437 |
|
283 |
283 |
$102.96 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
125 |
60 |
$0.00 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
148 |
62 |
$0.00 |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
31 |
27 |
$0.00 |
| 99490 |
Ccm add 20min |
116 |
112 |
$0.00 |