| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2046 |
Hospice long term care, room and board only; per diem |
128 |
62 |
$280K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,223 |
1,160 |
$85K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
901 |
810 |
$46K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
206 |
195 |
$15K |
| 93000 |
|
145 |
133 |
$3K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
58 |
42 |
$2K |
| 96160 |
|
173 |
165 |
$563.85 |
| 96127 |
|
145 |
143 |
$400.03 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$121.23 |
| 3008F |
|
19 |
18 |
$0.11 |
| 1036F |
|
12 |
12 |
$0.07 |
| 1159F |
|
13 |
12 |
$0.05 |
| 1160F |
|
13 |
12 |
$0.05 |