| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,512 |
3,904 |
$101K |
| 99310 |
Prolong nursin fac eval 15m |
1,094 |
873 |
$8K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
894 |
891 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
260 |
237 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
406 |
395 |
$2K |
| 99490 |
Ccm add 20min |
680 |
676 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
27 |
27 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
766 |
748 |
$1K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
416 |
414 |
$1K |
| G0179 |
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
179 |
179 |
$614.25 |
| 90686 |
|
12 |
12 |
$184.50 |
| 99487 |
Ccm add 20min |
68 |
68 |
$0.00 |
| 99489 |
Ccm add 20min |
68 |
68 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
131 |
126 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
108 |
105 |
$0.00 |
| 90674 |
|
40 |
40 |
$0.00 |
| 99439 |
|
40 |
40 |
$0.00 |