| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,317 |
6,272 |
$685K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,317 |
2,916 |
$353K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
915 |
803 |
$88K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,366 |
1,230 |
$46K |
| 96161 |
|
351 |
298 |
$32K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
268 |
256 |
$28K |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
715 |
678 |
$8K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
72 |
67 |
$3K |
| 99215 |
Prolong outpt/office vis |
27 |
27 |
$3K |
| 99173 |
|
15 |
15 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
17 |
17 |
$2K |
| 99307 |
|
12 |
12 |
$498.49 |
| G0008 |
Administration of influenza virus vaccine |
27 |
24 |
$0.00 |