| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
489 |
433 |
$18K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
360 |
291 |
$11K |
| 99215 |
Prolong outpt/office vis |
117 |
101 |
$7K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
215 |
152 |
$3K |
| 99000 |
|
102 |
98 |
$1K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
184 |
96 |
$873.43 |
| 99310 |
Prolong nursin fac eval 15m |
279 |
210 |
$99.38 |
| 99490 |
Ccm add 20min |
93 |
93 |
$75.72 |
| 90688 |
|
13 |
13 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
28 |
26 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
13 |
13 |
$0.00 |