| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,862 |
2,039 |
$140K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,114 |
906 |
$38K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
2,433 |
644 |
$30K |
| 0012A |
|
19 |
19 |
$568.00 |
| 0011A |
|
19 |
19 |
$364.00 |
| 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) |
530 |
442 |
$188.15 |
| 90688 |
|
47 |
47 |
$171.15 |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
16 |
16 |
$109.71 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
33 |
32 |
$31.87 |
| 90656 |
|
34 |
34 |
$0.00 |
| 91301 |
|
46 |
46 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
25 |
24 |
$0.00 |