| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,939 |
1,299 |
$34K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
571 |
488 |
$26K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
844 |
650 |
$20K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
364 |
292 |
$20K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
82 |
51 |
$1K |
| 99490 |
Ccm add 20min |
135 |
99 |
$937.29 |
| 99305 |
|
12 |
12 |
$290.04 |
| 90686 |
|
44 |
40 |
$206.96 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
15 |
12 |
$171.96 |
| 0004A |
|
37 |
37 |
$80.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
16 |
16 |
$0.00 |