| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
19,509 |
6,490 |
$173K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
820 |
707 |
$21K |
| 99306 |
Prolong nursin fac eval 15m |
29 |
29 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
135 |
117 |
$333.82 |
| 99215 |
Prolong outpt/office vis |
13 |
12 |
$286.00 |
| 99421 |
|
12 |
12 |
$64.58 |
| 90686 |
|
56 |
55 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
12 |
12 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
39 |
39 |
$0.00 |