| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,609 |
2,007 |
$76K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,774 |
534 |
$14K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
292 |
230 |
$6K |
| 99223 |
Prolong inpt eval add15 m |
386 |
343 |
$6K |
| 99215 |
Prolong outpt/office vis |
17 |
15 |
$594.51 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
391 |
321 |
$339.37 |
| 99233 |
Prolong inpt eval add15 m |
364 |
220 |
$126.22 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
64 |
50 |
$83.66 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
180 |
163 |
$31.86 |
| 1125F |
|
450 |
371 |
$0.00 |
| 1126F |
|
615 |
526 |
$0.00 |
| 1170F |
|
664 |
585 |
$0.00 |
| 3008F |
|
922 |
750 |
$0.00 |
| 3075F |
|
90 |
73 |
$0.00 |
| 3074F |
|
512 |
430 |
$0.00 |
| 3079F |
|
128 |
113 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
15 |
15 |
$0.00 |
| 1159F |
|
570 |
453 |
$0.00 |
| 1160F |
|
567 |
452 |
$0.00 |
| 3078F |
|
555 |
462 |
$0.00 |
| 3077F |
|
30 |
26 |
$0.00 |
| 99306 |
Prolong nursin fac eval 15m |
13 |
13 |
$0.00 |