| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
45 |
34 |
$1K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
122 |
122 |
$772.27 |
| 99307 |
|
18 |
17 |
$74.00 |
| 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) |
26 |
25 |
$50.85 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
27 |
19 |
$0.00 |
| T1015 |
Clinic visit/encounter, all-inclusive |
18 |
15 |
$0.00 |