| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,380 |
1,011 |
$55K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,416 |
938 |
$39K |
| 99215 |
Prolong outpt/office vis |
281 |
261 |
$17K |
| 99091 |
|
31 |
25 |
$2K |
| 99307 |
|
422 |
100 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
27 |
27 |
$391.32 |
| 93000 |
|
26 |
26 |
$256.60 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
41 |
27 |
$72.56 |
| 1160F |
|
406 |
278 |
$0.00 |
| 1159F |
|
408 |
279 |
$0.00 |
| 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) |
16 |
13 |
$0.00 |
| 99497 |
|
23 |
19 |
$0.00 |
| 99490 |
Ccm add 20min |
24 |
24 |
$0.00 |
| 3008F |
|
404 |
279 |
$0.00 |
| 1125F |
|
271 |
198 |
$0.00 |
| 1126F |
|
107 |
92 |
$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) |
15 |
15 |
$0.00 |