| Code | Description | Claims | Beneficiaries | Total Paid |
| 99310 |
Prolong nursin fac eval 15m |
2,252 |
2,191 |
$53K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
178 |
163 |
$1K |
| 99306 |
Prolong nursin fac eval 15m |
13 |
12 |
$1K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
25 |
25 |
$299.22 |
| 99497 |
|
12 |
12 |
$150.15 |
| 3008F |
|
25 |
25 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
12 |
12 |
$0.00 |
| S3005 |
Performance measurement, evaluation of patient self assessment, depression |
13 |
13 |
$0.00 |